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Lunch and Learn Session

Achieve 100% Compliance With ACA QHP Plan Materials and Simplify ACA Filings for 2024

November 3, 2022 | 13:00–13:45 ET

Session Overview:

Payers depend on disparate legacy systems and labor-intensive, manual, Excel-driven processes to build Qualified Health Plans.

Excel-driven workflows for benefits plan design and configuration result in hardcoded values that require manual adjustments at the code level for each year and plan variation. This combined with regulatory changes, leads to considerable objections, corrections, and oversights across fields in the PBTs, which must be manually reviewed and corrected. Incorrectly published plan materials expose the organization to penalties, and other regulatory and legal actions.

Join our Lunch and Learn session to discover how Healthcare Payers can automate processes from quotes to claims and achieve 100% compliance with ACA QHP plan materials using the Benefits1™ Digital Payer Platform.

Key Takeaways:

  • Digital source of truth to manage all ACA Qualified Health Plans
  • Automated QHP PBT filings
  • Errata-free compliance with SBCs and SOBs
  • Make data-driven decisions with real-time reporting and insights
  • Seamless API integrations with claims and other systems

Speakers

Phil Decker

Senior Director, Product Solutions

As Senior Director of Product Solutions, Phil is responsible for managing product backlogs for eBenefitSync™, eGroupEnroll™, and eClaimsEngine™. In addition, he oversees and mentors the Product Consultant team at Simplify Healthcare who work hand-in-hand with our clients to best leverage the capabilities of our Commercial business products. He is involved in strategic and directional decisions made for client implementations and can frequently be found at a whiteboard charting out new capabilities and features that solve real-world problems.