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  • Nevada Invests in Rule Eligibility Engine with the Latest Federal Health Insurance Exchange Grant

    Nevada, Illinois, Washington, Tennessee, South Dakota and Oregon - six US states will receive $181 federal grant for the federal government to set up their health insurance exchanges. With this grant, the total value for the federal grant allocated to US states for setting up state health insurance exchanges, has reached $1.1 billion over the last two years. Till now 34 US states have received federal grant money from the US government for setting up insurance exchanges. ...

  • Analyzing the State of Health Insurance Exchanges in the US Healthcare

    The United States of America has over 50 million people who do not possess health insurance. Escalating healthcare costs, families discontinuing health coverage to rein in costs, employees losing employer sponsored coverage, recession etc., have all contributed to the growing number of uninsured in America. President Obama's Affordable Care Act of 2010 had pledged to cover at least 32 million uninsured Americans through the health insurance exchanges.The federal government has granted US states the autonomy to design their state exchanges as per the state exchange administrators deem fit. ...

  • Why Private Health Insurance Exchanges Are Still a Good Deal?

    Quite a few private health carriers operating in the healthcare landscape have strategically planned ahead to invest in private health exchanges. While some of these leading carriers have already established their health insurance exchanges, several others are actively hunting for a comprehensive, private exchange application or private exchange hosting solutions. But, a few health care experts are wondering if setting up private health exchanges is still a viable business plan considering that the state based health insurance exchanges are ready to kick-off in January 1, 2014. ...

  • Understanding the Differences Among Regional, Multi-state or State-wide Exchanges

    Health Insurance Exchanges, the one-stop online marketplaces to sell commercial health insurance, are set to come into operation by January 1, 2014. In addition to finalizing the infrastructural and design aspects and requirements, states also need to decide whether they will be setting up an exchange on their own or would prefer deferring it to the federal government. ...

  • Health Insurance Exchanges Vs SHOP Exchanges - a View

    Anyone who has been following the U.S. healthcare landscape closely is well aware that President Obama's Affordable Care Act of 2010, mandates U.S. states to set up online insurance marketplaces. The marketplaces or 'exchanges' for both individuals and small businesses are to be addressed as - Health Insurance Exchange (HIX) and Small Business Health Option Program (SHOP) Exchange, respectively.The fundamental principle behind setting such exchanges is to make the U.S. ...

  • Medicare Advantage in 2012 – Marching Ahead Stronger Than Ever

    Affordable Care Act that had once been touted as Medicare Advantage nemesis has strengthened the Medicare Advantage plans instead. Now senior U.S. citizens have more choices available in Medicare Advantage plans that offer better quality of care at reduced premium rates.Earlier this month, the Centers for Medicare & Medicaid Services announced that the average premium rates for Medicare Advantage premiums have fallen by 7%. Not only that, the enrollment in Medicare Advantage plans witnessed an increase of around 10% over the past one year. ...

  • Medicare Advantage Plans with Fitness Programs Observe Higher Enrollments

    A study conducted last month by The New England Journal of Medicine concluded that Medicare Advantage plans that offer ancillary benefits such as gym memberships witness higher enrollments.

  • Establishing Successful Healthcare Insurance Exchanges

    Healthcare Insurance Exchanges, the online market places scheduled to launch on January 1, 2014 will be designed to provide low-cost health insurance options to millions of uninsured Americans. While the exchanges will give buyers more flexibility and control over choosing their insurance plans, they will also promote more transparency and competition among health plans. The Health Insurance Exchanges once launched, may alter the face of the ailing U.S. healthcare industry.However the U.S. ...

  • Insurers Charge Ahead to Set Up Private Insurance Exchanges

    With State Health Exchange deadline still a couple of years ahead, several health plans have cited their intentions to set up their own private health insurance exchanges in near future to lock in the large pool of individuals seeking health insurance.With hardly a few fully operational exchanges in U.S. currently, the U.S. exchange market is still in its nascent stage and if tapped into aggressively, it can offer health plans a chance to pull in physician networks, small and large businesses, individuals and groups seeking insurance, before the state health exchanges even come into effect. ...

  • Healthcare IT: An Emerging Sector

    The importance of healthcare IT companies have grown manifold after the new healthcare Act emphasized on the importance of technology in healthcare and made mandatory the use of certain software and technology in the health sector.However healthcare IT is a relatively new industry and most companies

  • The Importance of Electronic Health Records

    The advent of healthcare IT in the health industry has ensured that prior health technologies such as paper records are outdated. The health reforms have added to the importance of healthcare software. Technology in the healthcare sector has contributed immensely in providing accurate, reliable and

  • Benefits and Drawbacks of Electronic Health Record

    Electronic Health Record or EHR as they are more popularly known have emerged as the most needed and the most basic healthcare software. EHR have proved to be the backbone of the health insurance exchange and health information exchange. The medical information stored in the EHR is sourced by the ex

  • EMR is the building block for healthcare softwares

    The Patient Protection and Affordable Care Act encourages the optimum use of technology in providing healthcare to the residents. A well maintained database of health records is the first step in integrating technology in the healthcare and health insurance sector.Electronic Medical Record (EMR) is

  • A Framework of Health Insurance Exchange

    The Patient Protection and Affordable Care Act will soon make it mandatory for all states to have a state-based health insurance Exchange. These Exchanges will be federally funded and will serve as a regulated shopping arena where health insurance plans are bought and sold.The health insurance thoug

  • Guide to Different Kinds of Healthcare Softwares

    The importance of healthcare software has increased manifold after the Patient Protection and Affordable Care Act has come into enforcement. Different healthcare softwares are being developed day after day to facilitate the changes that the healthcare reforms will usher in. The healthcare insurance

  • The Role of States in Health Insurance Exchanges

    Florida was the first state. Others followed. And now almost every state has filed a lawsuit against the federal health reforms. While the law is still being debated in the courts, the federal government has made it clear that it is the state that will be in complete control of the insurance reforms

  • ICD 10 Proves to be a Major Step Forward in Healthcare Software

    ICD 10 or the International Statistical Classification of Diseases and Related Health Problems is a way to code diseases, signs, symptoms, findings, causes of injury and diseases, as classified by the World Health Organization (WHO).The greatly expanded ICD 10 will replace the ICD 9, which contains

  • Hurdles that the State Health Insurance Exchanges could face

    It is anticipated that the state health insurance Exchanges will forever change the way Americans look at their health policies. But to say that the Exchanges have everything right going for them would be far-fetched statement. The Exchanges are sure to bring about a drastic change in the world of h

  • Developing Healthcare IT for Better Insurance Regulations

    The United States has one of the costliest healthcare systems in the world. The government has predicted that the annual federal spending on healthcare will be around $4.4 trillion by 2018, or about $13,000 on every resident of the country.The federal health reforms aim to cut down heavily on this m

  • Healthcare Software: Can Small Healthcare Facilities Afford it?

    Health Information Exchange is all set to revolutionize healthcare in the country. Electronic medical records is a big step for healthcare IT that will soon make maintaining records hassle free but will also make paper accounts obsolete. Doctors will be able to access the medical history of the pati