Author's Posts

Turning 5010 and ICD-10 Transition into Strategic Advantage

Posted by: Sree Sahasranaman | September 27, 2011

The U.S. congress enacted the HIPAA (Health Insurance Portability and Accountability Act) to improve overall health coverage through simplified health administrative transactions.

Health Insurance Exchanges: Gaining Cost leadership & Transforming to Consumer centric Enterprise

Posted by: Sree Sahasranaman | June 30, 2011

The Patient Protection and Affordable Care Act (PPACA)envisions the formation of "State-based Exchanges to create competitive, transparent, accessible, and affordable options for health insurance. Healthcare payers compete on cost while adhering to the consumer choices. With an estimated 29 million individuals potentially to be enrolled, majority being individuals and small groups, healthcare payers need to continuously innovate to offer basic products/services that are highly price-sensitive. Designing of these exchanges is of utmost critical nature to move into a sustainable marketplace, maintaining separate risk pools across individual and small group markets and creating effective risk adjustment mechanisms.