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
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
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
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).
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).
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
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
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
How the Most Recent Supreme Court Ruling Will Impact the ACA
There are dedicated advocates on both sides of the Affordable Care Act’s constitutionality. However, the Supreme Court may be the entity that holds