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Transitioning to a State-Based Exchange: A Complete Guide

Once you’ve gotten buy-in from stakeholders, the next step in transitioning to a state-based exchange is vendor selection. Several … See more

Actived: 6 days ago

URL: https://www.certifi.com/blog/transitioning-to-a-state-based-health-insurance-exchange/

Recent Health Insurance Mergers and Acquisitions, Joint

WebRecent Health Insurance Mergers and Acquisitions, Joint Ventures and Pilots. 2022-03-07. The healthcare industry continues to consolidate. Several mergers, …

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Medicare Advantage: How 3 Health Plan Startups Fared

WebUnited and Centene saw strong market share growth, while Humana and Kaiser experienced the largest market share contraction. Finally, startup health plans …

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Private Health Exchanges: Frequently Asked Questions

WebA private exchange is an online store or marketplace that enables employees or retirees to shop for benefits from a selection of plans. The exchange will often include …

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7 AI Use Cases in Health Insurance

WebAccording to a recent Gartner survey, leading organizations expect to double the number of artificial intelligence (AI) projects within the next year and more than 40% …

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Payers Launch Virtual-First Health Plans

WebA recent survey from Press Ganey found that more than 1/3 of patients have used telehealth in the past year — a 38% increase since 2019. Usage among Baby …

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NPS for Health Insurers

WebThe average health insurer achieved an NPS score of 27. Bright Health – In their IPO filing, Bright Health indicated their NeueHealth Clinics had an NPS score of 78. …

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What are Essential Community Providers

WebStates may have broader definitions of Essential Community Providers. But from a federal perspective, the term was defined as a provider that serves predominantly …

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What is Network Adequacy in Healthcare

WebNetwork adequacy generally refers to a health plan’s ability to provide reasonable access to in-network healthcare to a plan’s members. Generally, health …

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7 Examples of Great State Health Insurance Exchange Marketing

Web7 Examples of Great State Health Insurance Exchange Marketing Campaigns. Growing enrollment in a state health insurance exchange is a lot like a …

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Transitioning to an SBM: 5 Benefits of State-Based Exchanges

WebThis year, New Jersey and Pennsylvania made the transition from Federally Facilitated Marketplaces (FFM) to State-based Marketplaces (SBMs). They joined 13 …

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Health Insurance Member Engagement: 5 Tips to a Better Experience

WebHealth Insurance Member Engagement: 5 Tips to a Better Experience. 2021-08-23. With more insurers entering the ACA’s individual insurance markets coupled …

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Health Insurance Member Journey Mapping

WebMember journey maps help health insurers better understand member interactions. They can provide insights into what members think of health insurance …

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No Surprises Act Summary: Advanced Explanation of Benefits

WebThe Consolidated Appropriations Act was signed into law in late December of 2020 and included the No Surprises Act. Congress designed the act to bring more …

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An Analysis of 2022 Preliminary ACA Premium Rates

WebAn Analysis of 2022 Preliminary ACA Premium Rates. 2021-09-06. The Affordable Care Act (ACA) requires health insurers who participate in the ACA …

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Medicare Advantage Marketing: A Guide for Insurers

WebMedicare Advantage Marketing: A Guide for Insurers. 2021-04-05. According to a McKinsey survey, seniors are extremely loyal. The survey found 81% of Medicare …

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Best Practices for Accurate Health Plan Premium Billing

WebBest Practices for Accurate Health Plan Premium Billing. 2023-07-24. Inaccurate billing practices can negatively impact a health plan’s brand and bottom line. …

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Health Insurance Premium Billing and Payment

WebOur highly configurable cloud-native health insurance premium billing platform automates core billing functions. Plus our unique Perfect Balance™ design ensures the accuracy …

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