The enrollment periods for the 2011 plan year are rapidly approaching. A number of changes and revisions to current guidance have been released by CMS and effect the upcoming enrollment for 2011.
The Special Election Period beginning on October 1, 2010 presents unique challenges as PFFS non-contracted network plans are terminating. Will your plan be in compliance and prepared?
Ingenix Consulting has provided and will continue to provide health plans with assistance in understanding Medicare guidelines and the impact on Medicare Advantage plans.
By attending this webinar, Ingenix Consulting will help health plan executives understand the latest CMS guidelines, the potential impacts to their organizations, and what they need to do and when - in order to achieve compliance.
The second in our two-part series on health reform explores the long term business impacts and opportunities for health plans and the short term strategies you need to implement now.
Presented by Lisa Chimento, Senior Vice President, The Lewin Group, and Kathy Kuhmerker, Managing Director, The Lewin Group and Former Medicaid Director, State of New York.
See how direct connection technology can more efficiently manage exception claims inventory and help your organization deal with waste, lack of standardization and rising processing costs.
Learn how implementing pharmacy claims payment management solutions complements and strengthens your medical claims payment management.
Discover how your organization can develop a strategy to increase claims cost management performance while decreasing expense. Move your organization beyond cost recovery to proactive avoidance and prevention.
Ingenix Consulting, in partnership with The Lewin Group, continues to provide our health plan clients with an understanding of the immediate business impacts of Health Reform on Medicare Advantage plans, individual and group commercial insurers.
Improving value and quality is top of mind for all in the health care industry. But it’s a tough assignment. You must effectively balance three factors – quality, access and affordability – each of which depends on accurate and transparent measurement. The first and potentially biggest hurdle is an agreed upon set of measurement standards and how to effectively apply them. Physicians and hospitals justifiably demand input into the measurement standards selected and how they are applied. Consensus and agreement on common goals is at the cornerstone of addressing variances in care delivery and performance and thereby improving health outcomes.
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