Brokers and employers may find it challenging to keep up with regulatory changes in the health insurance industry. Open Enrollment is a good time to distribute required notices and legal information to employees.
The CPC+* and PCMH** value-based care programs were designed to test improved provider payment and service delivery models. The goals are better care for patients, smarter spending and healthier communities.
As a QualChoice member, you will receive an EOB every 14 days if you have had any claims during that time. Review the EOB closely and compare it to the receipt or statement from your doctor.* Keep it for your records, along with your medical bills..
The size of an employer group determines benefit design, as well as Center for Medicare & Medicaid Services reporting requirements. Employers are required by state and federal regulations to report their ATNE; its accuracy impacts group health plan benefits.