Insurance Premium Billing

In 2023, the Minnesota legislature directed the Department of Human Services Health Care Finance commissioner to develop an implementation plan for the state’s Medicaid program, Medical [...]

As a member services leader, you understand your team’s role in member satisfaction and retention. You’re the bridge between complex health insurance plans and those who rely on them. [...]

In July, the Minnesota’s Department of Commerce released the 2025 proposed insurance rates for those buying in the individual market through the state’s health insurance exchange, [...]

Maximizing efficiency and profitability are crucial for health plans. However, managing premium billing can be a time-consuming and error-prone process. Often overlooked, premium billing [...]

The Inflation Reduction Act (IRA) included several provisions that limited beneficiary costs for Medicare prescription drugs. The act created a new Medicare Prescription Payment Plan, but chief [...]

The U.S. healthcare system is heavily populated by disparate technology systems and manual interactions between those systems that inhibit patient care and cost containment. To help alleviate [...]

On July 16, 2024, the Centers for Medicare and Medicaid Services (CMS) released the final Part 2 guidance related to the Medicare Prescription Payment Plan (M3P) program. Along with that [...]

The Medicare Prescription Payment Plan (M3P) was established by the Inflation Reduction Act of 2022 (IRA). Since then, the Centers for Medicare and Medicaid Services (CMS) has released guidance [...]

J.D. Power recently released its annual U.S. Commercial Member Health Plan Study. The study surveyed nearly 30,000 members of 147 health plans in 22 U.S. regions to determine how they rated their [...]

The annual enrollment period (AEP) for Medicare Advantage (MA) plans is a battlefield. Health plans face a relentless barrage of competition, regulatory hurdles, and increasingly savvy consumers [...]