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On-Exchange vs Off-Exchange Health Insurance Plans

An on-exchange silver plan may differ in name and benefits from an off-exchange silver plan being offered by the same health insurance … See more

Actived: 3 days ago

URL: https://www.bijenpatel.com/blog/on-exchange-off-exchange-plans/

HMO vs PPO vs EPO vs POS

WEBHMO stands for Health Maintenance Organization. Out of the four types of plans, HMO plans are generally the least costly. However, the lower cost is associated …

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Key Players in Health: Patients, Providers, Payers, Vendors

WEBPayers. Payers are the institutions that pay providers for the treatment that they give to patients. They include health insurance companies and the government. …

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Self-Funded vs Fully-Funded Health Insurance Bijen Patel

WEBTypically, choosing this option allows employers to save money. This is because insurance companies add on extra margins for profit to the monthly premium of …

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Components of Rising Healthcare Cost Trend Bijen Patel

WEBThe rapidly rising costs of “specialty” pharmaceutical drugs is arguably the most significant driver of rising healthcare costs. The US patent system offers extensive …

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Accurately Pricing Health Plans with Claims Readjudication

WEB4. $1000. $1000. $0. $2500. The plan paid $1500, and the total allowed was $4000. This means that the plan has an AV of 37.5%. After readjudicating each claim …

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What is Medicare

WEBBijen Patel. Medicare is a federal government health insurance program for elder people, and some disabled individuals. Unlike Medicaid, which is jointly-funded by …

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What is the ACA Advance Premium Tax Credit (APTC) Subsidy

WEBAdvance Premium Tax Credits (APTC) are a component of the Affordable Care Act. Essentially, APTCs make healthcare premiums more affordable for people …

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What is the ACA Cost-Sharing Reduction (CSR) Subsidy

WEBSimply put, the AV of a health plan is the percentage of healthcare costs that are covered by the insurance company across all of the members enrolled on the plan. …

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What is Medicaid

WEBBijen Patel. 14 Jul 2019• 2 min read. The Medicaid program provides either free or very low-cost health insurance to eligible poor individuals and families. The program is provided …

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Blog Bijen Patel

WEBKey Players in Health: Patients, Providers, Payers, Vendors. There are four key players in the healthcare industry: patients, providers, payers, and vendors. Bijen …

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How to Query Product Hunt GraphQL API with Python

WEBBijen Patel. The Product Hunt API is a great source of data for side projects and skill improvement. Querying the Product Hunt GraphQL API with Python is pretty …

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