• ACA
    • EXCHANGES

    WHCC Musings: It’s Not Politics, It’s the Economy

    Final insights and sound bites from the 11th Annual World Health Care Congress in National Harbor, Md. … While the Affordable Care Act (ACA) permeated every keynote, breakout and conversation, there were economic discussions, specifically the rising cost of health … Continued

    • ACA
    • HEALTH CARE COSTS

    HighRoads and CEB Find Two-Thirds of 2014 Medical Plans have Individual, In-Network Out-of-Pocket Maximums of $2,500 or More

    HighRoads, the industry leader in benefits plan management and health care compliance, and CEB (NYSE: CEB), the leading member-based advisory company, today released findings from their fifth annual Medical Plan Trends Report. The study found that many employers are beginning … Continued

    • EXCHANGES
    • PAYER

    Health Care Consumerism a Major Theme at WHCC

    Insights and sound bites from the 11th Annual World Health Care Congress in National Harbor, Md. … An overarching theme over the last few days is the shift toward health care consumerism, and the challenges facing payers and exchanges to … Continued

    • ACA
    • MEDICARE

    Congress Punts Again: Delays SGR Cuts and ICD-10 Implementation

    Providers and payers have mixed feelings as Congress approves another temporary patch to prevent Medicare physician payment cuts and delay the implementation of ICD-10 code. Just hours before physicians were to take a 24 percent cut in Medicare payments, the … Continued

    • ACA
    • PAYER

    Insurance & Technology: 5 Trends Shaping the Health Insurance Market

    In 2014, payer leadership finds itself in a revolutionary role to drive business outcomes. Evolving regulatory mandates and market conditions create both challenges and opportunities that demand a confluence of critical thinking. Perhaps the most positive development to emerge is … Continued

    • ACA
    • MEDICARE

    Congress Delays ICD-10, Medicare Physician Pay Cuts

    The “Protecting Access to Medicare Act of 2014,” just passed by Congress and on its way to President Obama for signature will delay implementation of several controversial aspects of the Affordable Care Act. While the delays are welcome, there is … Continued

    • ACA
    • EXCHANGES

    Open Enrollment Effectively Extended in FFM States

    On March 26, CMS announced that “consumers who tried to enroll during the open enrollment period, but did not complete the process … (will have) a limited amount of additional time to finish….” The administration continues to maintain that, for … Continued

    • ACA
    • COMPLIANCE

    Recent Spate of Regulations Show the Reactive Nature of Health Care Policymaking

    The last two weeks have seen a flurry of regulatory activity, involving issues as varied as insurance product discontinuation and renewal, quality reporting, and third-party premium payments. The breadth and sheer volume of regulation and guidance – issued by the … Continued

    • PAYER

    AHIP Ops and Tech Forum: November 17-19, Phoenix, AZ

    To set up a meeting with an executive from HighRoads at the event, please contact info@highroads.com.

    • MEDICARE

    AHIP Medicare and Medicaid Conferences: September 28 – October 2, 2014, Washington, DC

    To set up a meeting with an executive from HighRoads at the event, please contact info@highroads.com.