درباره این پادکست 🔗
Are you struggling to understand the many components of regulatory filing for health plans? Regulatory Joe demystifies these complexities with clarity and insight for everyone from seasoned managers to new professionals in the industry. Subscribe to stay up to date with the ever-evolving landscape of new guidelines for health plans.
میزبان‌ها:
فرکانس به روز رسانی:
every 18 days
میانگین طول صدا:
14 minutes
انگلیسی
ایالات متحده آمریکا
47 قسمت
از سال 6 اوت 2024
episodic
آخرین اپیزود 🔗
A single benefit change can carry through your rate, form and binder filings, and each one needs to reflect the same final plan design.
In this episode of Regulatory Joe, ClearFile President Joe Boyle explains what happens across your filings when a benefit changes and how health plans can keep ev…
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QHP Certification Notices are out for PY2027, and the plan list CMS certified needs to match what your state approved and what you plan to sell.
In this episode of Regulatory Joe, ClearFile President Joe Boyle explains what the QHP Certification Notice confirms, why state approval does not guarant…
There's no automatic notification when SERFF issues an objection, and a single objection can carry ten, twenty, even a hundred individual questions across your forms, rates and binder filings at once.
In this episode of Regulatory Joe, ClearFile President Joe Boyle walks through how the SERFF obje…
The Columbus v. Kennedy stay and CMS's revised PY2027 QHP certification timeline are hitting issuers at the same time, right in the middle of the PY2027 filing cycle. Portfolios built around 2027 flexibility now need a second look, and the certification calendar leaves less room to make that happen…
State-based exchanges are changing how ACA issuers file. When a state runs its own marketplace, your timeline, templates, reviewer contact and network review all shift.
ClearFile President Joe Boyle breaks down the move to state-based exchanges (SBEs) and the four operational changes issuers hit w…
Submitting a QHP application is a major milestone, but it is not the end of the certification process.
After submission, ACA issuer teams still have to manage state and federal review, respond to objections and deficiencies, evaluate CMS warnings and keep filings moving toward final approval.
In …
This year's PY2027 NBPP didn't just arrive late. It compressed the entire ACA filing season for issuers nationwide.
CMS didn't finalize the rule until May 15, weeks after the QHP application window opened and past some states' own filing deadlines for rates, forms and binders.
In this episode, Cl…
QHP filings touch five systems. A missed handoff between any of them can delay certification. Here's how data moves from SERFF through to CMS.
In this episode, ClearFile President Joe Boyle maps the full QHP filing ecosystem: how CMS, state divisions of insurance, SERFF, HIOS, and MPMS each play a…
Filing season can move quickly, especially when federal guidance arrives late, state deadlines shift and filing updates create downstream changes across documents, templates and systems.
In this episode of Regulatory Joe, ClearFile President Joe Boyle breaks down how health plans can retain contro…
ICHRA adoption is accelerating—but for health plans, the real challenge isn’t strategy. It’s execution.
In this episode of Regulatory Joe, ClearFile’s Joe Boyle sits down with Lindsey Miller of Softheon to break down what ICHRA actually changes for health plans across enrollment, billing, member e…
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