Welcome to HMS's Education Series focused on leading States and other payors through the complex maze of Healthcare Reform.
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Tuesday, May 1st, 2012 at 1:00pm Eastern
The Paradigm Shift: Electronic Eligibility Verifications for Health Insurance Exchanges
In this webinar we:
- Review the latest electronic verification requirements for Exchanges recently released in the Exchange Final Rule
- Highlight states that have already incorporated electronic verifications into their eligibility determination process
- Discuss challenges, considerations, best practices for electronic verifications for Exchanges, and how states should approach and prepare for this critical paradigm shift from paper to electronic eligibility verifications.
Enroll America Eligibility Issues Brief
CMS Exchange Verification Guidance Bulletin
Replay webinar recording
Thursday, April 26th, 2012 at 2:00pm Eastern
A Closer Look at MMIS Procurements: Maintaining Fiscal Control and Oversight
The webinar discussed:
- State Medicaid agencies’ need for innovative cost savings solutions
- The trend of including claims review and auditing services in MMIS contracts
- The value of keeping claims adjudication and editing functions contractually independent from auditing functions
- Recommendations for future MMIS procurements
We looked at the “super-procurement” approach to MMIS claims processing. We revieedw how bundling could negatively impact a state’s ability to maintain fiscal control and oversight over its Medicaid program—and how separating the editing and auditing functions can ensure long-term sustainability of a state’s Medicaid program and help Medicaid contractors narrow their focus to achieve more favorable results.
Wednesday, February 29, 2012
Innovative Solutions in Cost Containment for State & Municipal Employee Health Plans
Cost containment alternatives for state and municipal employee health plans
- Best practices in program integrity
- Obstacles to achieving the best results—and practical solutions
Tuesday, November 15, 2011
HMS Education Series Interacting with State Insurance Exchanges: What Large Employers Need to Know
How will state insurance exchanges affect large employers who offer coverage to their employees?
What are the new coverage requirements and reporting structures employers will need to understand?
Interacting With State Insurance Exchanges: What Large Employers Need To Know
Tuesday, May 3rd, 2011
Helping MCOs Prepare for HHS Inspector General Oversight Reviews
co-sponsored by
Medicaid Health Plans of America (MHPA) &
Association of Community Affiliated Plans (ACAP)
Federal Register, 02/02/2011 (HTML)
Federal Register, 02/02/2011 (PDF)
Friday, March 4th, 2011
Healthcare Reform and Child Support Enforcement
Related Files:
Child Support Enforcement
& Healthcare Reform Bills Analysis
Tuesday, December 14th, 2010
Medicaid RACs—The Impact on MCOs
co-sponsored by Medicaid Health Plans of America (MHPA)
Related Files:
Medicaid RAC Guidance from CMS
Friday Oct 29, 2010
Program Integrity: Building a Financial Foundation
for Health Care Reform
- Provider Self-Disclosure
- Medicaid RAC
Replay webinar recording
Working with so many government programs helps us see the big picture and allows clients to benefit from our knowledge and expertise.
