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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
  • Resources
    • Blog
  • Contact

Insurance Premium Billing

Home » Insurance Premium Billing
 Health Insurance Member Services Trends and Best Practices
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By Chad Reinholz
In Insurance Premium Billing
Posted September 25, 2023

Health Insurance Member Services Trends and Best Practices

In recent years, there have been significant advancements in how health insurance companies deliver services to their members. Innovations like digital platforms and personalized guidance have [...]

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 5 Strategies to Enhance Medicare Advantage Cost Efficiency and Boost Profitability
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By Chad Reinholz
In Insurance Premium Billing
Posted September 18, 2023

5 Strategies to Enhance Medicare Advantage Cost Efficiency and Boost Profitability

After years of being a highly profitable market for health insurers, the regulatory sands may be shifting for Medicare Advantage payers. Star ratings have tightened up, with the average rating [...]

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 Driving Success in the Digital Era: Key Actions for Health Insurance CIOs in 2024
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By Chad Reinholz
In Insurance Premium Billing
Posted September 11, 2023

Driving Success in the Digital Era: Key Actions for Health Insurance CIOs in 2024

Advances in technology, aging technology infrastructure, shifting regulations, and increasing competition have made it difficult for payer CIOs to prioritize activities. Here are 5 key actions [...]

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 Medicare Prescription Payment Plan: An Overview of Billing and Delinquency Management Requirements
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By Chad Reinholz
In Insurance Premium Billing
Posted September 4, 2023

Medicare Prescription Payment Plan: An Overview of Billing and Delinquency Management Requirements

In August, the Centers for Medicare and Medicaid Services (CMS) published draft guidance regarding a new payment plan option for Medicare Advantage Part D beneficiaries called the Medicare [...]

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 Artificial Intelligence Advice for Insurers
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By Chad Reinholz
In Insurance Premium Billing
Posted August 28, 2023

Artificial Intelligence Advice for Insurers

In a world where the potential of artificial intelligence (AI) looms large, it’s easy to envision a future where its capabilities may seem limitless, even posing existential threats – [...]

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 User Experience in Health Plan Software
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By Chad Reinholz
In Insurance Premium Billing
Posted August 21, 2023

User Experience in Health Plan Software

According to recent data from Zippia, companies lose 18% of their workforce each year, with 12% of this turnover being voluntary. Even worse, in the finance and insurance industry, that number [...]

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 Minnesota Public Option: MinnesotaCare Buy-in
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By Chad Reinholz
In Insurance Premium Billing
Posted August 14, 2023

Minnesota Public Option: MinnesotaCare Buy-in

Last week we examined the New Mexico Medicaid buy-in legislation that sanctioned the study of a new Medicaid buy-in for state residents.  Minnesota passed similar legislation this session, SF [...]

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 New Mexico Medicaid Buy-in: An Examination of House Bill 400
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By Chad Reinholz
In Insurance Premium Billing
Posted August 7, 2023

New Mexico Medicaid Buy-in: An Examination of House Bill 400

On March 16, 2023, New Mexico Governor Michelle Lujan Grisham signed House Bill 400. Though the initial house bill authorized a Medicaid buy-in program in the state, named Medicaid Forward, the [...]

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 Medicare Advantage Churn: Why Beneficiaries Disenroll and What Health Plans Can Do
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By Chad Reinholz
In Insurance Premium Billing
Posted July 31, 2023

Medicare Advantage Churn: Why Beneficiaries Disenroll and What Health Plans Can Do

According to data analyzed by the Commonwealth Fund, 17% of beneficiaries voluntarily disenrolled from a Medicare Advantage plan in 2021, an increase of 7% from 2017. For health plans, those [...]

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 Best Practices for Accurate Health Plan Premium Billing
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By Chad Reinholz
In Insurance Premium Billing
Posted July 24, 2023

Best Practices for Accurate Health Plan Premium Billing

Inaccurate billing practices can negatively impact a health plan’s brand and bottom line. Plus, correcting those mistakes wastes time and inflates call center call volume. Ensuring accurate [...]

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Eden Prairie, MN 55344
info@certifi.com
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