I Was Not Going to Let Them Win By Anne Glorioso, CEO · Solidarity Health Network, Inc. · Cleveland, Ohio 2006, something new came along called the Retiree Drug Subsidy — RDS, for those of you playing along at home. For the uninitiated: the RDS program was a federal subsidy available to employers and plan […]
Tag: centers for medicare and medicaid
So… the Government Changed Everything About Health Insurance
So… the Government Changed Everything About Health Insurance. Cool, Cool, Cool. By Anne Glorioso, CEO · Solidarity Health Network, Inc. · Cleveland, Ohio If you work in ACA (Affordable Care Act) compliance, you already know last summer was A Lot. And I mean A LOT. Two massive policy actions dropped within 40 days of […]
My Best Clients Are People I Never Enrolled – The business case for telling the truth
Blog 2 of the “Why I Do This” Series | By Anne Glorioso, CEO, Solidarity Health Network ——————————————————————————————————————————————————————————– ———————– I know that title sounds like a terrible business strategy. Bear with me. In the mid-1990s, I was asked to hold meetings for a group of workers who had just lost their jobs in a […]
Your Provider Roster Is Either Right or It’s a Problem
What ACA health plans — and the employers and brokers who work with them — need to know about provider directory rules, and why “close enough” stopped being good enough a long time ago. Let’s start with the uncomfortable truth: a lot of ACA health plans are out there right now with provider directories that […]
If Your TPA Never Pushes Back, They’re Not Protecting You
Compliance failures rarely announce themselves. They don’t show up with warning lights and sirens. They accumulate quietly — in a dependent verification that was skipped, a plan document that drifted from what’s actually being administered, an eligibility file that hasn’t been reconciled in months. By the time a plan sponsor discovers the problem, it’s usually […]