Blog

Modernizing Premium Billing for Medicaid and Public Program Plans

Premium billing for Medicaid and other public program plans has become increasingly complex. Shifting eligibility rules, fluctuating member responsibility amounts, and heightened regulatory scrutiny place pressure on billing teams to deliver accuracy and clarity at scale. At the same time, members expect timely, easy-to-understand communications that help them stay covered without confusion or disruption.  For government […]
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Cybersecurity

Cybersecurity in Healthcare: Four Essential Practices to Protect Health Plans and TPAs

September 30, 2024

Every October, organizations across the public and private sectors come together to observe Cybersecurity Awareness Month. Established in 2004 by […]

HealthAxis InFocus: Claims Efficiency – Lower Costs, Higher Retention

HealthAxis InFocus: Claims Efficiency – Lower Costs, Higher Retention

September 26, 2024

In this installment of HealthAxis InFocus, Dawn Pardee, Director of Claims Operations, shares valuable insights into how healthcare payers can […]

Call Center

Open Enrollment Readiness: Expert Insights from HealthAxis – Call Center Edition

September 9, 2024

Welcome to the third edition of our blog series, Open Enrollment Readiness: Expert Insights from HealthAxis. This series is designed […]

Regulatory Updates

How Regulatory Requirements Are Affecting Medicare Health Plan Administration

September 4, 2024

The healthcare landscape is constantly evolving and Medicare health plan administrators are facing a wave of new regulatory requirements that […]

Open Enrollment Readiness: Expert Insights from HealthAxis – Enrollment Operations Edition

Open Enrollment Readiness: Expert Insights from HealthAxis – Enrollment Operations Edition

August 21, 2024

Welcome to the first installment of our blog series, Open Enrollment Readiness: Expert Insights from HealthAxis. This series provides health […]

Compliance Updates

What Health Plans Need To Know About Recent Changes In Medicare Compliance

August 16, 2024

In July, the Centers for Medicare & Medicaid Services (CMS) introduced two pivotal updates that health plan administrators need to […]

Open Enrollment Readiness: Expert Insights from HealthAxis - Compliance Edition

Open Enrollment Readiness: Expert Insights from HealthAxis – Compliance Edition

August 16, 2024

Welcome to the first installment of our blog series, Open Enrollment Readiness: Expert Insights from HealthAxis. This series is designed […]

Reducing Costs and Complexity with EHR Workflows for Prior Authorization

Reducing Costs and Complexity with EHR Workflows for Prior Authorization

August 8, 2024

The healthcare industry faces a constant challenge: balancing rising costs with the imperative to deliver high-quality care. Prior authorization has […]

M3P

Navigating the Complexities and Opportunities of the Medicare Prescription Payment Plan for Health Plans

August 8, 2024

The Centers for Medicare & Medicaid Services (CMS) introduced the Medicare Prescription Payment Plan (M3P) as a part of the […]

HealthAxis InFocus: Leveraging AI Effectively

HealthAxis InFocus: Leveraging AI Effectively

July 31, 2024

Welcome to the first installment of HealthAxis InFocus, a video series where we share insights and perspectives from our leaders […]

Open Enrollment Readiness

Ensuring a Successful Open Enrollment: Key Areas for Healthcare Payers & TPAs

July 23, 2024

As healthcare payers and third-party administrators (TPAs) gear up for the open enrollment period (OEP) and annual enrollment period (AEP), […]

Non-Compliance

The Impact of Non-Compliance for Healthcare Organizations

July 1, 2024

In the intricate realm of healthcare, healthcare organizations confront the daunting challenge of adhering to stringent regulations. Non-compliance can precipitate […]