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3 Ways Mismanaged Policies and Procedures can Cost you Money and Members
Behind every health plan are a number of policies and procedures that serve as a framework for the organization and the care of its members. These policies include all aspects of operation, from payment and authorization to coordination of benefits.
Read MorePositioning yourself for career advancement
Regardless of whether you are actively looking for a job or are happy in your current role, there are a number of ways to position yourself for career advancement in the healthcare industry. These include advanced degrees, continuing education courses and professional development.
Read MoreFour Benefits of Using a Healthcare-Specific Executive Search Firm
With the national unemployment rate nearing only 5% and unemployment for the healthcare industry nearing only 3%, finding the right talent has become a challenge for healthcare organizations of all sizes.
Read MoreMA and Part D Plans: Jumpstart Your CY2016 ANOC and EOC Documents Creation
In late January, CMS released the “CY 2016 PBP/SB Software List of Changes and Known Issues,” which includes a summary of the changes to the Plan Benefit Package (PBP) software that Medicare Advantage and Part D plans will use to upload their 2016 AEP materials bid submissions to CMS later this year.
Read MoreExpert Q&A: Hot Topics at Medicaid Innovations
Q: Your team recently attended and presented at the Medicaid Innovations conference in Orlando. What was a hot topic there?
Read MoreCMS Announces Quality Rating System for Qualified Health Plans
Beginning in 2016, all Qualified Health Plan (QHP) issuers operating in healthcare exchanges will be required to submit strict quality data on a number of measures under the Center for Medicare and Medicaid’s (CMS’) Quality Ratings System (QRS).
Read MoreHow the ACA Will Create a More Portable Workforce
Health insurance, pensions, retirement plans and other employer-sponsored benefits were originally created during World War II as a way for companies to be more competitive in attracting and retaining employees. Countless factors over the decades have changed the shape of company benefits, but the Affordable Care Act (ACA) is going to dramatically change the dynamic…
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