As 2024 unfolded, healthcare organizations faced a rapidly shifting landscape—embracing advanced technologies, navigating regulatory complexities, and doubling down on member retention strategies. Throughout the year, HealthAxis delved into these challenges and opportunities, sharing insights that resonated across the industry.
Interoperability has long been a critical challenge for the healthcare industry, but for payers, it has become a strategic imperative. As regulatory mandates grow more stringent and the pressure to optimize quality and risk programs intensifies, healthcare payers must embrace interoperability to remain competitive.
Preparing for audits is a year-round priority for healthcare organizations. The ever-evolving regulatory landscape requires health plans to adopt a proactive approach that integrates compliance monitoring, staff education, risk management, and transparent communication with auditors. Achieving audit readiness is essential to streamline processes, minimize risks, and maintain compliance during audits.
HealthAxis, a leader in healthcare administration technology and business process operations, today announced the promotion of three visionary leaders to roles that will shape the company’s next chapter of growth and innovation. Nick Hutchins has been named Chief Growth Officer, Kim Bogart has been named Chief Customer Officer, and Rebecca Pessel has been named Senior Vice President of People. These leadership advancements reflect HealthAxis’ commitment to transforming healthcare administration by driving operational excellence, creating value for clients, and fostering a thriving workplace culture.
Hosted by the Association for Community Affiliated Plans (ACAP), the webinar, “Preparing for the 2025 Administration Shift: Proactive Cost Avoidance and MLR Strategies for Your Medicare Advantage Business,” will explore how upcoming policy changes could drive Medicare Advantage growth, including increased reimbursement rates and expanded support for Dual Eligible Special Needs Plans (D-SNPs).
In today’s rapidly transforming healthcare landscape, health plans face mounting pressures to balance operational demands, cost efficiency, and member satisfaction. While artificial intelligence (AI) and automation offer promising solutions, many payers remain hesitant and uncertain about their practical applications and benefits. However, specific technologies like conversational AI and robotic process automation (RPA) are proving their value, creating a foundation for smarter decision-making, significant cost reductions, and deeper member engagement—all without compromising care quality.
As the year comes to a close, healthcare payers face a landscape marked by significant regulatory shifts and evolving compliance demands. New mandates from CMS, adjustments to Medicare Part D, enhanced HIPAA compliance standards, and a push toward value-based care models will all impact how payers operate, interact with providers, and serve members. Staying ahead of these changes is crucial—not only to ensure compliance but also to strengthen operations, improve member experience, and achieve strategic objectives in a rapidly evolving landscape.
Artificial intelligence (AI) and automation are transforming healthcare operations, and HealthAxis is at the forefront of this innovation.
Health plans face increasingly complex compliance demands. In this HealthAxis InFocus video, Compliance Officer Milonda Mitchell delves into the six priority areas health plans should focus on to reduce risk and excel in 2025.