Entries by admin

Provider-Owned Geisinger Health Plan Selects hCentive’s Health Insurance Exchange Integration and Private Exchange Solutions

GHP to Offer Single Sales Portal RESTON, VA – August 21, 2013: hCentive, the leader in ACA health insurance exchange technology, announced today that it formed a new relationship with Geisinger Health Plan (GHP), a leading health insurance provider, for WebInsure Exchange Manager and WebInsure Private Exchange. hCentive’s WebInsure Exchange Manager will provide GHP with […]

What does the CEO at an Insurance Carrier Think About?

NYU professor Thomas Nagel is most well known for his 1974 essay “What is it Like to Be a Bat?” That is an exciting read for anyone, but especially for people in consulting and sales/marketing, who are always trained to think from the perspective of our target audience. That is the reason, that we can […]

Healthcare Leaders: Getting Prepared for the Exchange Ecosystem (Part 1)

This is the first part of a discussion about how healthcare leaders should perceive the emerging exchange marketplace and get ready to ensure survival and profitability in this fast-changing domain. Healthcare reforms can prove intimidating to people who get overwhelmed by its vastness. Yes, health reforms are complex, intertwined with a never-ending series of updates […]

Delving Deeper into ACA: Summary of Benefits and Coverage

For a health insurance shopper, reading through the literature of different health plans can be rather overwhelming. The information is usually provided in a complex format where narrowing down the most relevant details becomes difficult. Plan details usually include multi-tiered payment options, along with complex calculations about cost-sharing and coverage-limitation scenarios. The Affordable Care Act […]

NHS in UK Takes a Leaf from Obama’s Health Reforms

The creation of Electronic Health Records (EHR) was established by President George W. Bush in 2004. He created the Office of the National Coordinator (ONC) for Health Information Technology to support the adoption. The ONC created standards for medical records but adoption was slow. In 2009, President Barack Obama picked up the torch stating EHR […]

Is the Broker Compensation Rule Possibly a Blessing in Disguise?

On December 7, 2012 the U.S. Department of Health and Human Services (HHS) released a proposed rule that advises States to consider broker compensation as a parameter when issuing Quality Health Plan (QHP) certifications to health plans that are keen to market their health products at the Federally Facilitated Exchanges (FFEs) and Federally Facilitated-SHOP Exchanges […]

Top 4 Health Insurance Trends to Watch Out for in 2013

The year 2012 proved to be an eventful period for the U.S. health insurance industry. The Affordable Care Act (ACA) continued to charge ahead amid widespread controversies—including a ruling by the Supreme Court—and became infused with a fresh lease of life when President Obama won a second term in office. With last year witnessing the […]

Want to Showcase Your Products on the Federal Exchanges? It’ll Land you a 3.5% ‘User Fee’

The latest draft of regulations released by the Obama administration proposes administering a ‘user fee’ on the insurers that plan to market their products through the Federally Facilitated Exchanges (FFEs). The twenty-one U.S. states that refused to set up a State-based Exchange and the five others that are currently electing for a State-Federal Partnership Exchange […]

The Balancing Act: Managing Healthcare Costs in the New Exchange Markets

The success of healthcare reform hinges largely on reducing healthcare costs and improving access to healthcare for millions of uninsured Americans. Payers hoping to sell their insurance products through health insurance exchanges are likely to witness severe competition from other exchange-hopeful payers and those operating in the outside-exchange markets. Payers will be required to moderate […]

Assessing the States’ Readiness on the Health Exchange Navigator Program

In July 2012, the Crider Group conducted a survey to assess the status of Navigator program developments in various states in order to recommend suggestions and solutions for the development of a navigator program for the District of Columbia Health Benefit Exchange. This survey was unique since the concept of “navigators” continues to remain elusive […]