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 […]
Tag: obamacare
Credentialing Isn’t Paperwork. It’s the Backbone of Your Network.
Every health plan and every provider network has a credentialing function. Not every health plan and every network has a credentialing *system* — and the difference between those two things is where most of the downstream pain in this industry comes from. Credentialing is the gate. It determines who is permitted to bill the plan, […]
Healthcare Costs Are Climbing Again. Here’s How to Get Ahead of It.
If your health plan renewal is coming up and the numbers look worse than last year, you’re not imagining it. Employers nationwide — and especially here in Ohio — are bracing for another round of significant premium increases in 2026. For many organizations, healthcare now ranks among the top two or three expense lines. That’s […]
When ACA Subsidies Shrink: What Small Employers Can Do to Support Their Employees in 2026
Many small employers are hearing the same concern heading into 2026: “My ACA subsidy went down — my premiums are going up — what do I do?” With subsidy reductions and higher plan costs, more employees are facing difficult decisions during open enrollment. Even if you don’t currently offer a group plan, you still have […]