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We recently wrote a health insurance CIO’s guide to emerging technology that covered topics from chatbots and augmented reality to robotic process automation and the Internet of Things. But one [...]

The Affordable Care Act (ACA) requires health insurers who participate in the ACA exchanges to submit their proposed premium rates for the upcoming plan year. Generally, those rates are available [...]

The 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 transparency to health care. Congress [...]

With more insurers entering the ACA’s individual insurance markets coupled with the growth of Medicare Advantage plans, engaging members is the key to member retention and revenue growth. But [...]

Medicaid delivers health coverage to nearly 75 million Americans. Typically, that includes low-income adults, children, pregnant women, elderly adults, and those with disabilities. Each state [...]

Amazon rapidly evolved from an online bookseller to a behemoth with tentacles reaching into many corners of today’s economy. One of their challenges included building the cloud infrastructure [...]

The Affordable Care Act (ACA) allowed states to expand Medicaid to adults with incomes up to 133% of the Federal Poverty Level (FPL). Initially, a requirement in the ACA, a later Supreme Court [...]

When health insurers consider the value of automating their premium billing processes, they usually consider the time saved by the billing and customer service staff. That’s true, automating the [...]

As the ACA expanded Medicaid, some states decided to implement cost-sharing in the form of premium payments or monthly Medicaid contributions. These premiums generally apply to Medicaid expansion [...]

Health insurers are highly incentivized to vaccinate their members. The cost of a COVID-19 infection greatly outweighs the cost of vaccination. As a result, insurers have invested significant [...]