ACA

25 09, 2017

Keep your At-Risk Members Healthy while improving your HEDIS and STAR Ratings

2018-10-30T23:53:33+00:00

Keep your At-Risk Members Healthy while improving your HEDIS and STAR Ratings Diabetes is a chronic disease that can create downstream health issues if not carefully watched and addressed. In fact, according to the CDC, over 29 million, or 9.3% of the US population suffer from type 2 diabetes. [1] Diabetic patients need to [...]

Keep your At-Risk Members Healthy while improving your HEDIS and STAR Ratings2018-10-30T23:53:33+00:00
24 04, 2015

Federal Governments Requirements for QHPs and Provider Directories – Don’t Panic (Yet).

2018-10-30T20:02:18+00:00

What You Need to Know: On Feb. 20, 2015, 2015 the Centers for Medicare & Medicaid Services (CMS) released two distinct rules regarding online directories.  According to the rule, Medicare Advantage Organizations will be required to contact providers on a quarterly basis (90 days) beginning next year and be expected to update online directories [...]

Federal Governments Requirements for QHPs and Provider Directories – Don’t Panic (Yet).2018-10-30T20:02:18+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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