States have been waiting years to return to fixing how health care is delivered. But they got delayed in the process. The ACA tasked every state with making major changes to Medicaid eligibility technology – a federally imposed mandate for all states, regardless of whether they chose to expand Medicaid. To comply with the ACA’s new eligibility rules and policies, some states attempted to build state marketplaces for private insurance plan shopping while retooling their separate Medicaid eligibility systems to accommodate the new rules for the under-65 population. This siloed approach often lead to cost overruns and lack of coordination between technology teams at each of the state marketplaces and their partner Medicaid agencies. Other states adopted marketplace systems that included an integrated “single door” for providing eligibility determinations for all state health care programs and benefits, while another set of states – the majority— wound up on HealthCare.gov.
When you’re talking to your fellow broker friends about exchange technology and current market trends, what’s the one thing you all have in common? Money. Everyone needs to make more of it and everyone needs a better way to control it.
With the deluge of changes in the functioning of the market and the new role of benefit marketplaces (aka private exchanges), most brokers feel they are stuck between a rock and a hard place. They know that they want to make the shift to exchanges, but are not yet certain how the move will benefit […]
Sophos, the renowned security firm, recently reported in its survey of data encryption: “The Sophos survey of IT decision makers in six countries reveals that there are some misconceptions about encryption, and some disconnects between what companies say they are concerned about – and what they’re doing about it.” The article does not talk about misconceptions, but […]