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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
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Insurance Premium Billing

Home » Insurance Premium Billing
 Synthetic Data for Health Insurers
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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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 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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 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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 How Much Will the US Spend on Healthcare?
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By Chad Reinholz
In Insurance Premium Billing
Posted April 18, 2022

How Much Will the US Spend on Healthcare?

In late March, the Office of the Actuary in the Centers for Medicare and Medicaid Services (CMS) released their annual projections for US healthcare spending. These projections analyze several [...]

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 Medicare Payment Policy: MedPac’s March 2022 Congressional Report and the Industry Response
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By Chad Reinholz
In Insurance Premium Billing
Posted April 11, 2022

Medicare Payment Policy: MedPac’s March 2022 Congressional Report and the Industry Response

Each year the Medical Payment Advisory Commission (MedPAC) releases two annual reports. Those reports provide recommendations to Congress based on an analysis of the Medicare program. MedPAC [...]

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 Medicaid PHE: New CMS Return to Normal Operation Guidance
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By Chad Reinholz
In Insurance Premium Billing
Posted March 28, 2022

Medicaid PHE: New CMS Return to Normal Operation Guidance

In early March, the Center for Medicare and Medicaid Services released SHO#22-001 to help states deal with the conclusion of the Medicaid Public Health Emergency (PHE) and the influx of Medicaid [...]

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 Medicare Advantage: How 3 Health Plan Startups Fared
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By Chad Reinholz
In Insurance Premium Billing
Posted March 21, 2022

Medicare Advantage: How 3 Health Plan Startups Fared

The 2022 Medicare Advantage open enrollment period recently ended. In early March, the Chartis Group released an in-depth examination of the Medicare Advantage market. Among the findings: [...]

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Eden Prairie, MN 55344
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