Healthcare reform and mandates
Exchange participation represents a significant shift in the way health plans will pay claims, file regulatory reports, etc. The timeline for compliance is too short to upgrade existing systems. Health plans will need to look for third-party solutions.
The Patient Protection and Affordable Care Act (PPACA) will have a profound effect on all aspects of life, particularly for the nearly 50 million Americans who will now be part of the healthcare system. With the plan in effect, healthcare will be more accessible and affordable to all Americans.
Health plans need a strategy and road map for private exchanges to retain existing or capture new employers. Health plans that don’t, risk losing their share in the group market
Postponing neutrality and partner testing will be counter-productive to the objective of ICD-10 transition – achieving rick-free and successful compliance. Healthcare stakeholders need to proactively bring strategic test planning into the overall ICD-10 transition strategy.
The criticality of ICD-10 implementation lies in thorough alignment of an organization’s business functions, stakeholders and external partner entities. Collaboration among these with respect to alignment of the core business objective of compliance is the key aspect of success.