healthaxis

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Claims Management (3)

A New Approach to Health Plan Operations

HealthAxis releases an advanced all-in-one solution to administer claims, third-party services, and data analytics for Health Plans 

Tampa, FL, (September 23, 2020): HealthAxis takes health plan claims administration software and services to the next level with the release of HxOne; an end-to-end, fully integrated healthcare operations solution. HxOne combines advanced claims system technology, flexible front and back-office services, and actionable analytics.

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Commonly Asked Questions by Health Plans Seeking New Analytics Solutions

Part 3: Analytics Solutions

We complete our series on the most common questions by focusing on our analytics and data solutions. For a quick review, HealthAxis Group offers an array of third-party administrative services that help accelerate productivity, improve processes, and perform cost-efficient operations for Medicare, Medicaid, and commercial plans. We customize service engagements, from outsourcing all plan operations to targeting a single line of service (full list of services).

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Commonly Asked Questions by Health Plans Seeking New Solutions-Services

Part 2: Services Exploration

We continue our series on the most common questions by focusing on our services sector. For a quick review, HealthAxis Group offers an array of third-party administrative services that help accelerate productivity, improve processes, and perform cost-efficient operations for Medicare, Medicaid, and commercial plans. We customize service engagements, from outsourcing all plan operations to targeting a single line of service (full list of services)

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Commonly Asked Questions by Health Plans Seeking New Solutions-Software Exploration

We understand that choosing a new solution can be a daunting task and that making changes can have an extensive impact on a company’s success, employee productivity, and the members served. If you are considering a change, whether it be upgrading your claims systems, taking on more risk, outsourcing parts of your operations, or improving your data management, we can help.

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Medicare Advantage gets supplemental benefits flexibility, including for transport

MA plans must still offer all enrollees uniform benefits, premiums and cost sharing.

“Under the bipartisan budget deal signed by the president in February, Congress expanded supplemental benefits for the chronically ill to include those that “have a reasonable expectation of improving or maintaining the health or overall function of the chronically ill enrollee and may not be limited to being primarily health related benefits.” The law also authorizes CMS to waive uniformity requirements, but only with respect to supplemental benefits for enrollees with chronic conditions. As healthcare’s focus shifts increasingly to population health, barriers such as transportation and food and housing insecurity are entering the equation of what it means to be and remain healthy. Without a reliable ride, for example, patients may miss scheduled appointments or fall treatment regimens, increasing the likelihood of more costly care in the future.” Read the full article.

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