ACA

5 11, 2015

THE SHIFT TO VALUE BASED PAYMENT: THE LONG AND WINDING ROAD

2018-10-30T21:52:52+00:00

The long and winding road That leads to your door Will never disappear I’ve seen that road before It always leads me here Lead me to your door -The Beatles If you’ve been around the health care industry for the last 30+ years, you know that the ACA and HHS’ efforts around value based [...]

THE SHIFT TO VALUE BASED PAYMENT: THE LONG AND WINDING ROAD2018-10-30T21:52:52+00:00
21 09, 2015

SPOTLIGHT: Richard Lungen, Membership Chair, HealthCare Executive Group (HCEG)

2018-10-30T20:54:53+00:00

About Richard Lungen, Membership Chair, HCEG and Managing Member, Leverage Health Richard founded Leverage Health following 16 years of leadership experience within the managed care, life and health insurance, and overall healthcare service industries, as a means to deliver best-practice solutions from leading service companies to healthcare payers. Since founding Leverage Health, the firm [...]

SPOTLIGHT: Richard Lungen, Membership Chair, HealthCare Executive Group (HCEG)2018-10-30T20:54:53+00:00
29 07, 2015

“Medicare test would make hospitals bear risk for knee surgeries…”

2018-10-30T20:46:34+00:00

“Medicare test would make hospitals bear risk for knee surgeries…” Modern Healthcare: July 9, 2015 The volunteer phase of the war on Fee-for-Service is over, and now the draft is underway, with the news this month that CMS is requiring participation in bundled payments for hip and knee replacement for 75 geographies across the [...]

“Medicare test would make hospitals bear risk for knee surgeries…”2018-10-30T20:46:34+00:00
9 06, 2015

The time is now (real-time) to have accurate Provider Data

2018-10-30T20:40:57+00:00

Beginning next year, CMS will require health insurers to provide individuals enrolled in Medicare Advantage plans up-to-date details about those plans in real time. More specifically, health insurers will have to contact doctors and other providers every three months and update their online directories to include details about which doctors in the plan are [...]

The time is now (real-time) to have accurate Provider Data2018-10-30T20:40:57+00:00
25 03, 2015

Risk-Ready Providers are Key to Successful Networks in ACA Programs

2018-10-30T19:55:27+00:00

RowdMap, Inc. talks about Using Government Benchmarks to Configure Your Network Around Risk-Ready Providers at California Association of Health Plan's Seminar LOUISVILLE, Ky., March 24, 2015  - Josh Rosenthal, PhD, Chief Scientific Officer and Co-Founder at RowdMap, Inc., will be speaking on the applicability of government data to network design at the California Association [...]

Risk-Ready Providers are Key to Successful Networks in ACA Programs2018-10-30T19:55:27+00:00
18 03, 2015

8th Annual Medicare Marketing & Sales Summit

2018-10-30T19:54:06+00:00

Leverage Health will be attending the 8th Annual Medicare Marketing & Sales Summit in Nashville next week. With increasing regulatory barriers and ongoing health reform challenges, Leverage Health is committed to the Medicare market.  We are passionate about delivering relevant solutions to Medicare payers and clearly see the need for innovation and growth opportunities in [...]

8th Annual Medicare Marketing & Sales Summit2018-10-30T19:54:06+00:00
13 02, 2015

Provider Data 911 – ACA Marketplace Health Plans’ Dilemma

2018-10-30T19:46:04+00:00

The ACA (Affordable Care Act) has significantly increased the number of consumers participating in an already overburdened healthcare delivery system.  While it has provided significantly increased access to a wider range of health insurance benefits than has ever before been available, it has also added increased complexity.  The onus is on health insurance providers [...]

Provider Data 911 – ACA Marketplace Health Plans’ Dilemma2018-10-30T19:46:04+00:00
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