CHIP Reauthorization: Right Around the Corner

Thomas Johnson

Reauthorization for the Children’s Health Insurance Program (CHIP) lurks behind Washington’s focus on the Affordable Care Act (ACA) repeal and replace efforts. But the battle may be as contentious, and the added factor of a September 30th deadline makes stakeholders worry.

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New Challenges in Network Development

Elena Martin

The summer sun is shining and vacation season is in full swing! While our Health Plan Network and …

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Digital Marketing in the Medicare Advantage World

Angela Fox

“Internet shopping rates have surpassed the rates of all other shopping activities.” As marketers, we have heard for …

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Rising Drug Costs Continue to be a Concern

Jean LeMasurier

During the presidential campaign, Donald Trump highlighted the need to address rising drug costs, stating the drug industry …

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10 CMS Program Audit Risks

Regan Pennypacker

Program audits and oversight activities must be designed with many factors to balance: accuracy, consistency, efficiency, and in …

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CMS Withholds Critical Medicare Advantage Analysis; Why?

Jessica Smith

Controversy is brewing in the healthcare insurance community since the much anticipated Medicare Advantage (MA) analysis due to …

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Evolve from Restrictive to Supportive Medical Management, or Die

John Gorman

I am continually amazed by how many health plans in Medicare Advantage (MA) and Medicaid still cling to restrictive, …

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