Blog

Regulatory Updates

How Regulatory Requirements Are Affecting Medicare Health Plan Administration

September 4, 2024

The healthcare landscape is constantly evolving and Medicare health plan administrators are facing a wave of new regulatory requirements that […]

Open Enrollment Readiness: Expert Insights from HealthAxis – Enrollment Operations Edition

Open Enrollment Readiness: Expert Insights from HealthAxis – Enrollment Operations Edition

August 21, 2024

Welcome to the first installment of our blog series, Open Enrollment Readiness: Expert Insights from HealthAxis. This series provides health […]

Compliance Updates

What Health Plans Need To Know About Recent Changes In Medicare Compliance

August 16, 2024

In July, the Centers for Medicare & Medicaid Services (CMS) introduced two pivotal updates that health plan administrators need to […]

Open Enrollment Readiness: Expert Insights from HealthAxis - Compliance Edition

Open Enrollment Readiness: Expert Insights from HealthAxis – Compliance Edition

August 16, 2024

Welcome to the first installment of our blog series, Open Enrollment Readiness: Expert Insights from HealthAxis. This series is designed […]

Reducing Costs and Complexity with EHR Workflows for Prior Authorization

Reducing Costs and Complexity with EHR Workflows for Prior Authorization

August 8, 2024

The healthcare industry faces a constant challenge: balancing rising costs with the imperative to deliver high-quality care. Prior authorization has […]

M3P

Navigating the Complexities and Opportunities of the Medicare Prescription Payment Plan for Health Plans

August 8, 2024

The Centers for Medicare & Medicaid Services (CMS) introduced the Medicare Prescription Payment Plan (M3P) as a part of the […]

HealthAxis InFocus: Leveraging AI Effectively

HealthAxis InFocus: Leveraging AI Effectively

July 31, 2024

Welcome to the first installment of HealthAxis InFocus, a video series where we share insights and perspectives from our leaders […]

Open Enrollment Readiness

Ensuring a Successful Open Enrollment: Key Areas for Healthcare Payers & TPAs

July 23, 2024

As healthcare payers and third-party administrators (TPAs) gear up for the open enrollment period (OEP) and annual enrollment period (AEP), […]

Non-Compliance

The Impact of Non-Compliance for Healthcare Organizations

July 1, 2024

In the intricate realm of healthcare, healthcare organizations confront the daunting challenge of adhering to stringent regulations. Non-compliance can precipitate […]

Utilization Management (UM)-Focused Audits

Critical Prep Areas for 2024 Utilization Management (UM)-Focused Audits

June 27, 2024

The 2024 Medicare Advantage and Part D Final Rule (CMS-4201-F) introduced new constraints on Utilization Management (UM) policies, particularly prior […]

FHIR® in Action: Streamlining Prior Authorization

FHIR® in Action: Streamlining Prior Authorization

June 8, 2024

Traditionally, prior authorization has been a complex, time-consuming process fraught with inefficiencies. Disconnected systems and manual procedures not only slow […]

Panel

Investing in Healthcare IT: AI Innovations for Healthcare Payers

June 8, 2024

The McGuireWoods Healthcare Private Equity & Finance Conference remains a premier event that convenes healthcare industry leaders to explore innovative […]