MENGENAI PODCAST INI 🔗
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.
Hos:
Kekerapan kemas kini:
every 18 days
Purata panjang audio:
14 minutes
Bahasa Inggeris
Amerika Syarikat
47 episod
sejak 6 Ogo 2024
episodic
EPISOD TERKINI 🔗
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 ...
EPISOD SEBELUMNYA 🔗
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 guar ...
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 o ...
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 hap ...
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 hi ...
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.
...
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, ...
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 pla ...
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 con ...
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, membe ...
Penafian: Podcast dan karya seni yang dibenamkan pada halaman ini adalah daripada ClearFile, yang merupakan hak milik pemiliknya dan tidak bergabung dengan atau disokong oleh Listen Notes, Inc.
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