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As we reach the culmination of our series in honor of International Women’s Day’s theme, #InspireInclusion, this final installment builds upon the insights and reflections shared in Part 1: Personal Journeys to Enhancing Diversity and Part 2: The Impact of Allyship on Diversity.
In an era of paramount digital transformation, the Trusted Exchange Framework and Common Agreement (TEFCA) emerges as a pivotal beacon for healthcare payers. Established by the 21st Century Cures Act, TEFCA aims to create a standardized methodology for health information exchange across disparate networks.
HealthAxis, a leader in health plan administration technology and services, and InfoMC, a pioneer in medical management and behavioral health technology solutions, are proud to announce a strategic partnership that delivers a complete, end-to-end solution enabling organizations to more efficiently orchestrate whole-person care. Leveraging a collective 80+ years of experience in the healthcare industry, this collaboration marks a significant milestone in the integration of cutting-edge administrative technology and services with advanced care management and sets a new standard for comprehensive healthcare delivery.
As we continue celebrating International Women’s Day (IWD) and Women’s History Month under the banner of this year’s IWD theme, #InspireInclusion, we delve deeper into the fabric of inclusivity with Part 2 of our three-part blog series.
Throughout March, HealthAxis joins the global celebration of Women’s History Month and the powerful theme of International Women’s Day: #InspireInclusion. In this three-part blog series, we’ll be featuring the voices of our incredible team members, exploring their experiences and perspectives on fostering a truly inclusive and diverse work environment aligned with the #InspireInclusion theme.
In the complex landscape of healthcare administration, being prepared for a CMS (Centers for Medicare & Medicaid Services) Parts C and Part D Program Audit is paramount for healthcare payers. These audits are critical for ensuring compliance with federal regulations and maintaining the integrity of healthcare services. However, several indicators can suggest an organization may not be fully prepared for such scrutiny.
The healthcare landscape is constantly evolving, and the Centers for Medicare & Medicaid Services (CMS) Interoperability and Prior Authorization Final Rule (CMS-0057-F) introduces significant changes, particularly in streamlining prior authorization (PA) processes for medical services. This rule primarily impacts Medicare, Medicaid, and certain health insurance issuers under the Affordable Care Act, and commercial health plans are excluded from these mandates.
In the dynamic world of Medicare, the Annual Election Period (AEP) serves as a critical source of data, offering invaluable insights that can inform and transform future strategies. For Medicare plans, effectively leveraging AEP data is essential for improving service delivery, operational efficiency, and beneficiary satisfaction.
In an era where technological advancement shapes the landscape of industries, healthcare remains at the forefront of significant transformation. The findings from the 2024 Gartner CIO and Technology Executive Survey provide a clear directive for healthcare payers: invest in technology to enhance operational efficiency, improve stakeholder experiences, and ensure sustainability in an ever-evolving market.
In the specialized arena of Medicare plans, the Annual Election Period (AEP) represents more than a key enrollment window; it’s a treasure trove of insights waiting to be unlocked. The period following enrollment is ripe with opportunities to extract valuable data that can profoundly shape future AEP strategies, making them more aligned with the needs and behaviors of Medicare beneficiaries.