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March 4, 2016

Thriving in the Health Insurance Marketplace

As the healthcare industry continues to evolve, the Center for Medicare and Medicaid Services (CMS) has proposed five changes for the Patient Protection and Affordable Care Act.  The proposed changes are focused on: Risk Adjustment, Network Adequacy, Out-of-Pocket Maximums, Standardized…

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February 19, 2016

Simplified Core Quality Metrics

The Center for Medicare and Medicaid Services (CMS) released the first set of “Core Quality Measures”  this Tuesday, in which CMS and private payers agree to utilize in value-based payments. The collaborative includes members from America’s Health Insurance Plans (AHIP),…

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