From the time that compliance with Affordable Care Act (ACA) documentation regulations became so important to health insurance providers, Xpertdoc has been providing out-of-the-box and customized solutions for satisfying these challenging requirements.
Last month, new guidance for the Summary of Benefits and Coverage (SBC) requirements was released. The most significant change for 2014 is that SBCs must disclose whether the medical plans provide Minimum Essential Benefits (MEB) and satisfy the Minimum Value (MV).
Although the 2012 Affordable Care Act requirements were fulfilled, many insurers were still left scrambling days before the deadline; showcasing inflexibility within existing insurance IT systems. However, technology advancements promise sustainable solutions.
Here are a few announcements and tidbits of information which will hopefully make you look forward to the new year 2013; but before we look ahead, let me revisit what was accomplished in 2012: Cloud, Migration and Healthcare Reform.
Over the past couple of weeks, I have been engaging in many discussions with health care providers around the country. As the September 23 deadline looms only a few days away, I have been getting two streams of comments.
Having already developed and deployed the Xpertdoc Solution to produce compliant SBC-document output, a natural evolution was to address the coverage example challenge. Within a matter of days, an integrated Coverage Example calculator was added to our SBC-creation process.