Fast Facts: New CMS Risk Adjustment Ruling for 2018

Last week, The Centers for Medicare and Medicaid Services (CMS) confirmed the risk adjustment program for the 2018 benefit year. The rule finalized the risk adjustment procedure previously established for the 2018 benefit year, permitting health plans offering coverage in the Affordable Care Act (ACA) marketplace to receive funds through the program.  

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High Member Retention: Softheon’s Secret Sauce for Open Enrollment Success

This year’s open enrollment period is shaping up to be another successful one at Softheon. Despite median net premiums increasing about 21% year-over- year, what is the key driver for this success? The answer- healthy renewal numbers.

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2019 Open Enrollment Snapshot 

As week 6 of Open Enrollment comes to a close, The Centers of Medicare and Medicaid (CMS) announced that it saw 773,250 consumers enroll in health insurance during week 5 with a cumulative 3.1 million registrants so far. With less than 8 days left in Open Enrollment ’19, it is important to find the best health insurance options available and select a plan customized for your needs. 

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Update: Health Reimbursement Arrangement (HRA) Proposed Regulation Changes

Healthcare remains topofmind in postmidterm election America. Government agencies recently released proposed regulation changes affecting health reimbursement arrangements (HRAs). According to Discovery Benefits, “If finalized, would make these accounts more accessible and expand the ability of employees to spend their funds within the customizable plans.”

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Changes in ACA Marketplace Premiums For 2019

With a newly competitive market, average premiums for key plans offered on the exchange are finally decreasing in 19 states. Although several states are on the decline, it does not erase the price hikes that accumulated in 2014. Next year’s price slashes should correct the large increases insurance companies implemented from 2018.  

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NAMD 2018: Recap

The National Association of Medicaid Directors (NAMD) Conference gathered executives and government employees in the bustling city of Washington D.C to discuss Medicaid program initiatives in America. The conference offered a variety of Medicaid workshops while highlighting key advancements in healthcare technology.

In case you weren’t able to attend, check out our NAMD recap of key takeaways:

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Tim Jost: The Proposed Health Reimbursement Arrangement Rule

The United States is unique among developed countries in the extent to which it ties health care financing to employment.  Fifty-six percent of Americans receive health coverage through their jobs. Some health policy experts have criticized this situation, asserting that health care could be financed much more efficiently if individuals purchased the health care coverage that best suited their needs rather than relying on their employers to purchase coverage for them.

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How the Midterm Elections Results Affect Healthcare

The 2018 Midterm Elections made history with a record-high 47% of registered voters casting a ballot. When it comes to important issues, exit interviews conducted by CNN, CBS News, and ABC reported 40% of Americans ranked healthcare as their most prominent concern. 

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Midterm Elections: States with Medicaid Expansion Ballot Initiatives

As the 2018 Midterm Elections approach, several states are focusing their attention on healthcare and Medicaid Expansion. Kaiser Health News reports “So far, 33 states plus the District of Columbia have opted to expand, extending coverage to almost 12 million Americans, according to federal estimates last year. In those states, the expense ranges from tens of millions of dollars to hundreds of millions.” States that didn’t pursue the expansion pay nearly half the cost of coverage. Montana, Idaho, Utah, and Nebraska have put forward state initiatives in hopes to win over the ballet box on November 6th.

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Open Enrollment is Here: What You Need to Know

Almost 12 million people enrolled in health insurance coverage during last year’s open enrollment. Be a part of the millions this year and mark your calendars for these important Open Enrollment dates and deadlines.

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