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  • Home
  • Solutions
    • Billing and Payment Software
    • State Exchange Premium Billing
    • Private Health Insurance Exchange Billing
    • Health Insurance Premium Billing
    • Benefits Billing and Payment for Employers
    • Medicaid Capitated Payment Reconciliation
    • Medicaid Premium Billing & Collections
    • Benefits Billing for Benefits Administrators
  • About
  • Careers
  • Blog
  • Contact

Photo Albums

Home » Photo Albums
 Synthetic Data for Health Insurers
0
By Chad Reinholz
In Insurance Premium Billing
Posted June 27, 2022

Synthetic Data for Health Insurers

Earlier this year, one of the largest public health insurers, Anthem (or Elevance Health) announced that they’re working with Google Cloud to create a synthetic data platform to generate an [...]

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 Basic Health Programs: An Overview
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By Chad Reinholz
In Insurance Premium Billing
Posted June 20, 2022

Basic Health Programs: An Overview

To be eligible for certain federal funds during the COVID-19 public health emergency, states had to suspend dropping beneficiaries from Medicaid programs. The end of the COVID-19 public health [...]

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 AI In Health Insurance: Takeaways from HHS’ Trustworthy AI Playbook
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By Chad Reinholz
In Insurance Premium Billing
Posted June 13, 2022

AI In Health Insurance: Takeaways from HHS’ Trustworthy AI Playbook

Last year we wrote about how the US Department of Health and Human Services (HHS) released a new artificial intelligence (AI) strategy in conjunction with hiring a new AI officer. In September of [...]

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 Washington’s Section 1332 Waiver: Extending Health Insurance to Undocumented Immigrants
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By Chad Reinholz
In State Health Insurance Exchange
Posted June 6, 2022

Washington’s Section 1332 Waiver: Extending Health Insurance to Undocumented Immigrants

In 2021, the Washington State Legislature authorized the state’s Affordable Care Act (ACA) health insurance exchange, the Washington Health Benefit Exchange to find ways for residents who don’t [...]

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 Group Benefit Billing: Why Benefits Administrators and Employers Hate It – and One Way to Fix It
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By Chad Reinholz
In Employer Benefits
Posted May 30, 2022

Group Benefit Billing: Why Benefits Administrators and Employers Hate It – and One Way to Fix It

In a world of nearly instantaneous money transfers, digitized enrollment data, and complex insurer core admin systems, it’s surprising that benefits billing causes significant headaches to both [...]

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 Standardized Health Plans: The Impact of the 2023 Notice of Benefit and Payment Parameters Final Rule
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By Chad Reinholz
In Insurance Premium Billing, State Health Insurance Exchange
Posted May 23, 2022

Standardized Health Plans: The Impact of the 2023 Notice of Benefit and Payment Parameters Final Rule

Previously, we wrote about health equity, network adequacy, and essential community providers due to the proposed changes outlined in the 2023 Notice of Benefit and Payment Parameters Proposed [...]

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 The Future of the Health Insurance Industry: How CVS Health’s 2021 ESG Report Envisions the Future
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By Chad Reinholz
In Insurance Premium Billing
Posted May 16, 2022

The Future of the Health Insurance Industry: How CVS Health’s 2021 ESG Report Envisions the Future

Recently, CVS Health released its 2021 Environmental, Social and Government (ESG) Report. As the parent company that owns a retail pharmacy chain, CVS Pharmacy, a pharmacy benefits manager, CVS [...]

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 Benefits Administration Billing Partnership: 5 Frequently Asked Question
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By Chad Reinholz
In Employer Benefits
Posted May 9, 2022

Benefits Administration Billing Partnership: 5 Frequently Asked Question

Most benefits administrators’ first foray into building technology involved enrollment and eligibility platforms. As they gained market share, their customers began to ask them for consolidated [...]

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 How to Improve the Member Experience: Tips and Technology for Health Insurers
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By Chad Reinholz
In Insurance Premium Billing
Posted May 2, 2022

How to Improve the Member Experience: Tips and Technology for Health Insurers

Simply put, a poor health insurance member experience can hurt an insurance company financially. Take Medicare Advantage enrollment, for example. CMS assigns Medicare Advantage plans star ratings [...]

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 A Better ACA State Exchange: 4 Lessons from Connecticut’s Audit
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By Chad Reinholz
In State Health Insurance Exchange
Posted April 25, 2022

A Better ACA State Exchange: 4 Lessons from Connecticut’s Audit

Connecticut’s state-based health insurance exchange, Access Health CT, was recently audited. The audit gained considerable media attention after it found that the exchange failed to report 44 [...]

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