What Sebelius says about insurers

In the November 13 press conference announcing that 106,185 consumers had made a health plan selection on the exchanges, HHS Secretary Kathleen Sebelius indicated that the 834 is still a work in progress. » More

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How a health plan loses grandfathered status

A plan will lose its grandfathered status if any one of the following changes were made to a policy at any time since PPACA became law on March 23, 2010.
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Web Seminar – Don't Let HIPAA Slow You Down
Managed Healthcare Executive brings you a panel of experts discussing how to improve communication and enhance productivity and patient care while protecting PHI. Register for free now. »

New Medicaid leader focuses on integration, payment reform

Integrated healthcare and payment reform are two efforts of Medicaid Health Plans of America (MHPA) under its new president and CEO, government affairs veteran Jeff Myers. Myers has succeeded Joe Moser, MHPA’s interim executive director and director of government affairs, who was recently appointed Medicaid Director of Indiana. » More

Free Webinar: Learn About Newly Insured Members – Nov. 21
The newly insured will have limited healthcare data. Join Inovalon’s webinar on how analytics and outreach can proactively assess the true member risk profiles of these members. Register here. .

Plans still waiting on enrollment data

The federal data services hub that drives the healthcare.gov application and enrollment process is working normally, however, the user interface continues to be plagued by slow response, unrelated error messages and sporadic progress delays. » More

Narrow networks disappoint consumers

To ensure consumers logging onto the marketplace exchanges see their most affordable offerings, many payers have narrowed their networks to exclude providers who don’t meet cost and quality standards. » More

Single payer issue will rise again

The future of healthcare centers on scale, population health and the value of care rather than the volume of care, according to thought leaders speaking at a leadership briefing in November in Akron, Ohio. But the political atmosphere also adds layers of complexity, they say. » More

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We value your input. Please send your comments and article ideas to Editor in Chief Julie Miller. julie.miller@advanstar.com.

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