Resources

Original and curated content from the HealthCare Executive Group, our sponsors, partners, and healthcare industry professionals.

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Page 2 of 15

Impact of Healthcare Policy on ACA Marketplace – Leadership Discussion

The new administration and the pandemic have significantly impacted the United States healthcare delivery system with many changes to health care regulations and policy – particularly in regards to the…

Impact of Healthcare Policy. Legislation. ACA exchange marketplace. Individual Small Group Market. SEP. extended enrollment. Subsidy. American Rescue Plan. open enrollment period. Softheon.

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August 26, 2021


Intelligent Care Management Technologies: Key Considerations & Opportunities

As the healthcare delivery system continues to embrace value-based care and payment models, a number of factors are driving the adoption of intelligent care management technologies by health plans and…

Intelligent care management technologies. Value-based care models. Whole-person care. Patient engagement. VirtualHealth HELIOS.

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August 20, 2021


Practical Interoperability Part 2: Trust, Workflow, Value-Based Care Models, & More

‘Practical Interoperability’ means different things to different healthcare stakeholders. In the HealthCare Executive Group’s first Focus Area Roundtable on Interoperability, leaders associated with health plans, care providers, and organizations supporting…

Practical Interoperability. Trust, Workflow, & Value-Based Care Models. HealthCare Executive Group. HCEG. Focus Area Roundtable. health plans, payers. Insurance.

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August 2, 2021


Discussing Barriers to Healthcare Interoperability, Use-Cases, and More – Part 1

‘Interoperability’ – particularly between health plans and care providers – has been a high priority of healthcare executives for years. It ranks #6 on the 2021 HCEG Top 10+ list…

Barriers to Interoperability. Health plans, payers, care providers. Mandates. data transparency, information blocking, HIPAA regulations. Surescripts. Use Cases. Prior Authorizations. Electronic prescribing. Medications. Surescripts

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July 26, 2021


Payer-Provider Collaboration Critical to Meeting Price Transparency Mandates

Ignoring price transparency mandates will not make them go away Will the No Surprises Act be the dagger in the heart of fee-for-service payments? What changes to the No Surprises…

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June 17, 2021


Impact of Healthcare Policy Changes & New Regulations – Healthcare Leader Insight & Opinions

With the new presidential administration, staying abreast of and responding to new and changing healthcare policy changes, legislation, and regulatory activities is more important than ever. And with uncertainties about…

Healthcare Policy Changes. Focus Area Roundtable. HCEG. HealthCare Executive Group. Regulatory. Regulations. Policy. Mandates. Interoperability. Data transparency. Non-Compliance.

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June 1, 2021


Insight on Using Data & Analytics to Address Healthcare Consumer Needs

Health plans have more data and analytics than they typically know what to do with.  The challenge is to use new types of data and advanced analytics like artificial intelligence…

Insight on Using Data & Analytics to Address Healthcare Consumer Needs. HCEG Top 10. Member Data. Insights. Pre-Authorization Process. HCEG. WHCC.

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May 11, 2021


Beyond Price Transparency Compliance – Stakeholder Thoughts – Part 2

The Transparency in Coverage Mandate and the No Surprises Act are forcing health plans, health systems, healthcare providers to focus their attention and already overburdened resources on price transparency compliance-related…

Price Transparency Compliance Regulations Mandates. Policies, programs, and tools. Data standards. Operational considerations. Increasing adoption. End-user education and support. Payer-provider relationships.

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April 21, 2021


Healthcare Price Transparency – Leaders Share Insight – Part 1

Healthcare price transparency has a lot of attention and focus right now, especially in the mandate-driven space. But addressing price transparency via compliance with regulations is just a portion of what…

Healthcare Price Transparency Price Transparency Regulations & Compliance, Policies, Programs, & Tools, Data Standards & Operational Considerations

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April 19, 2021


Healthcare Leaders Focus on Healthcare Policy & ACA

Early indicators of healthcare policies’ prioritization, implementation, and/or likelihood of success can provide a head start to healthcare organizations – particularly those serving Medicare/Medicaid beneficiaries and those operating in the…

Healthcare Policy ACA Focus Area Roundtable. Medicare/Medicaid beneficiaries. Health Insurance Marketplace. HealthCare Executive Group HCEG. Softheon. American Rescue Plan (ARP). Expanded APTC Eligibility and Subsidy Amounts May Drive Individual Market Growth. real-time prior authorization requirements.

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March 19, 2021


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