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 […]
CEO Series with Suraya Yahaya: Navigating Medicaid Payment Cuts: Strategies to Protect Margins and Preserve Access
In our last blog in this series, we discussed how community engagement requirements will require new systems for tracking, reporting, and supporting […]
Operational Continuity in Public Programs: How HealthAxis’ BPaaS Solution Can Make a Difference
Navigating Uncertainty When Federal Oversight or Support Is Reduced Periods of uncertainty in government oversight, such as government shutdowns, can place enormous strain […]
CEO Series with Suraya Yahaya: How the OBBBA Drives Increased Demand for Eligibility and Redetermination Services
What changed and why it matters now The One Big Beautiful Bill Act (H.R. 1), which was ratified on July 4th, 2025, […]
Workflows Built for Waivers, Carve-Outs, and State-Specific Requirements
Regulatory change isn’t a quarterly event, it’s constant. Each year, CMS releases the Medicare Advantage and Part D Advance Notice followed by […]
2024 Healthcare Policy Changes: What They Mean for Health Plans in 2025
As the year comes to a close, healthcare payers face a landscape marked by significant regulatory shifts and evolving compliance demands. New […]
Navigating the Complexities and Opportunities of the Medicare Prescription Payment Plan for Health Plans
The Centers for Medicare & Medicaid Services (CMS) introduced the Medicare Prescription Payment Plan (M3P) as a part of the Inflation Reduction […]
AEP Post-Enrollment Reflections Part 3: Harnessing AEP Data – Strategic Advancements for Medicare Plans
In the dynamic world of Medicare, the Annual Election Period (AEP) serves as a critical source of data, offering invaluable insights that […]
AEP Post-Enrollment Reflections Part 2: Leveraging Medicare Insights for Enhanced AEP Success
In the specialized arena of Medicare plans, the Annual Election Period (AEP) represents more than a key enrollment window; it’s a treasure […]


