Small Health Plans: Establish Customer-Focused Compliant Processes to become the Leader

By Nidhi Saxena, Project Manager, VUE Software For the last half decade or longer, the smaller senior care providers have been plagued with limited revenue, CMS monitoring rules, MARx automation, and a patchwork of manual and weak automation solutions as the political fate of Medicare Advantage hung in the balance. Predictions of increased participation, a... Read more » by Nidhi Saxena2015

Medicare Advantage: What it means for private insurers.

When working adults turn 65, they have a lot of options about their health coverage. According to the Kaiser Family Foundation, currently about 25 percent of Medicare enrollees have opted for Medicare Part C, also known as the Medicare Advantage (MA) plan.

by John Sarich2013

TPAs Address Challenges in Approaching ACA-Mandated Uniform Summaries of Benefits and Coverage

The Affordable Care Act (ACA) states that insurance payers, including both carriers as well as self-funded groups, must create SBC documents for their insureds. This mandate may pose a few questions to Third Party Administrators (TPAs) in the way they provide their service.

by Stephanie Castro2012

What the Summary of Benefits and Coverage Deadline Delay Means for Health Plans

On November 17, 2011, the Departments of Health & Human Services, Labor, and the Treasury (the “Departments”) issued an FAQ document that addressed the concern of many health plans about being able to meet the proposed March 23, 2012 deadline for the summary of benefits and coverage (SBC) requirement that is part of the Patient Protection and Affordable Care Act (PPACA).

by Stephanie Castro2011

AHIP Conference Takeaways: 3 Areas of Change in Health Plan Sales and Marketing

Our VUE Software representatives attended AHIP’s Institute 2011, held in San Diego June 15-17th. The conference had a broad focus on improving America’s healthcare through intelligent insurance information technology. The conference illuminated many areas of focus for today’s health insurance IT.

by Joseph Westlake2011

Support Agents Throughout the Sales Cycle to Better Meet Client Needs – VUE Software at AHIP Institute 2010

Health insurers will be faced by challenges in the near future with the implementation of health care reform. Given the multitude of sanctions in the bill, there will be a big impact on the insurance business model.

by Joseph Westlake2010

Health Insurers: Stand Out From the Crowd with Sophisticated Customer Follow-up

The competition in the health insurance industry is growing tighter as the market continues to provide ample options of policies for customers to choose from. Competition will only intensify, especially once the new health insurance mandate takes effect.

by Joseph Westlake2010