Medicare for All? Medicaid for More, More Likely

Nearly all 16 Democratic candidates vying for the 2020 presidential seat have taken a stance on “Medicare for All.” Some, like New York Senator Kirsten GillibrandMassachusetts Senator Elizabeth Warren and Hawaii Representative Tulsi Gubbard, support Vermont Senator Bernie Sander’s single-payer model.  

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Product talk: ER&R Automation

Issuers are continually concerned about providing exceptional service to their members. One of the major pain points in achieving this goal has been making sure adequate subsidy payments from the Centers for Medicare and Medicaid Services (CMS) are fulfilled. To alleviate it, Softheon has created an innovative reconciliation and dispute process to modernize the member experience.

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Meet Cloud Maker, Cindy Roethel, Managing Director of Corporate Finance and Administration

Cindy’s journey began when she enrolled as an accounting major at St. Joseph’s College in Patchogue, New York. She was the first person from her family to graduate with a professional degree. After graduation, Cindy joined the workforce for 3 years before deciding to pursue her Master’s in Business Management (MBA). The real-world experience from her first job made her a successful candidate for an MBA.  

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New Jersey Set to Become a State-Based Marketplace

On March 22, New Jersey announced its move to a State-Based Marketplace (SBM) from a Federally-Facilitated Marketplace (FFM) for the year 2021, joining the ranks of Nevada and New Mexico.  

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House Health Subcommittee Hearings on Three Bills

On March 6, 2019 the Health Subcommittee of the House Committee on Energy and Commerce held a legislative hearing entitled, “Strengthening Our Health Care System: Legislation to Lower Consumers Cost and Expand Access.” According to the House Committee on Energy and Commerce, the subjects of the hearing were the following three proposed bills:  

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HITC Recap: Day 3

The Healthcare IT Connect Summit rang in day 3 discussing agency data sharing and collaboration, the West Virginia Asset Verification System (AVS) journey, followed by an update from the National Coordinator for Health IT. Attendees are addressing state challenges, promoting interoperability, while keeping the overarching theme of Medicaid modernization in mind. 

In case you were not able to attend, here is our recap of key topics discussed: 

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HITC Recap: Day 1 & 2

The Healthcare IT Connect Summit kicked off with pre-conference workshops enticing attendees to dig deep into the world of healthcare, Medicaid, and the implementation of innovative technology. Set in the bustling city of Baltimore, Maryland, the event welcomed emerging and established federal agencies and healthcare reform professionals. This 3-day conference intends to discuss Medicaid modernizations, MMIS re-procurement, payment reform, and the shift towards modularity.

In case you were not able to attend, here is our recap of key topics discussed:

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Here’s Why You Can’t Miss Healthcare IT Connect Summit (HITC) 2019

With less than 24 hours until this year’s Healthcare IT Connect Summit, states are preparing to present their innovative ideas on data governance and interoperability. Attendees can expect to learn about Medicaid modernizations, MMIS re-procurement, payment reform, and the shift towards modularity. This year’s summit marks the 10th anniversary of the program and has evolved to include the public and private sector.  

Here’s why you can’t miss HITC 2019: 

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New Report Finds SBMs Fare Better than FFMs in Enrollment and Premiums

Overview  

A report produced by Covered California, the Massachusetts Health Connector and the Washington Health Benefit Exchange was released on March 6. It examined the impact that federal and state actions have had on state-based marketplaces (SBMs) versus federally facilitated marketplaces (FFMs). The data includes enrollment information from plan year 2019, which was the first year in which was the individual coverage mandate penalty was terminated by federal action and the third year in which the federal government dramatically reduced marketing and outreach on behalf of FFMs. 

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What you need to know about the new CMS Documents on State Reinsurance Funding

Overview 

In light of the Centers for Medicare and Medicaid Services’ (CMS) newly released informational and guidance documents on state reinsurance funding, we have put together a brief to help everyone stay informed. First, we provide background information to understand the foundations of reinsurance. Then we cover the current landscape of the seven states that have a reinsurance program to understand the CMS’ context for publishing the documents. We end by summarizing what the new CMS documents tell us. 

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