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Government

Applicability of State-Based Marketplace Solutions for Federal Agencies: Meeting the Medicare Integration Mandate

The health insurance space is becoming more complex as new avenues for affordable coverage emerge. State and federal agencies need to adapt shopping,

Category iconGovernment,  State & Federal Insurance Exchanges Tag iconAzure cloud,  Federal Agencies,  MOTS,  OPM

ARPA

How to Prepare for Last Minute Changes to Rates Following the ARPA Subsidy Expiration

Worried about losing members if the enhanced premium tax credits (PTCs) expire at the end of 2022? Health plans and states can use business rules

Category iconAffordable Care Act,  Government,  Health Plan Tag iconARPA,  Medicaid,  Subsidy expiration

Unwinding

5 Ways States Can Save Resources While Keeping Eligible Members Enrolled

Millions of Medicaid beneficiaries will lose coverage once Medicaid reassessments begin, many of whom are still eligible. Softheon spoke to

Category iconGovernment,  Medicaid Tag iconMedicaid,  PHE

Lessons from 2008 on Combating Medicaid and Marketplace Coverage Losses

“Losing Medicaid coverage? Don’t worry, we automatically enrolled you into a Marketplace plan.” This was just one innovative approach the State of

Category iconAffordable Care Act,  Government,  Health Plan

NBPP

Impact of the Proposed Notice of Benefit and Payment Parameters on Exchanges, Health Plans, and Web Brokers

On December 28, 2021, the Centers for Medicare and Medicaid Services (CMS) issued its annual proposed Notice of Benefit and Payment Parameters (NBPP).

Category iconGovernment,  Health Plan

The Intersection Between Medicaid and Marketplace: Recap of a Softheon and USofCare Virtual Event

Medicaid and Marketplace experts came together to discuss methods to retain enrollees and navigate the end of the Public Health Emergency (PHE).

Category iconGovernment,  Health Plan,  Medicaid

Medicaid Reassessment at NASHP 2021

This year’s National Academy of State Health Policy (NASHP) conference ran from September 21 – 22, 2021. At the conference, state Marketplace

Category iconGovernment Tag iconMedicaid Reassessment,  NASHP

How to Adapt to the Industry Shift Towards Composable Solutions

Half the battle of running a business within the healthcare industry is knowing when to adapt and change. Growth and scalability only occur when you

Category iconGovernment Tag iconcomposable solutions

ARP

Three Challenges State-Based Marketplaces Face and Their Response to the ARP

On March 11, 2021, President Biden signed into law the American Rescue Plan Act (ARP) of 2021, allocating $1.9 trillion towards economic relief. The

Category iconACA ruling,  Government Tag iconAmerican Rescue Plan Act. ARP,  SBM

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