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- How Distributors Help Agents Connect Better
Health insurance distributors do more than just contract agents with carriers—they equip them to serve consumers better. They act as strategic partners, providing the infrastructure, tools, and guidance agents need to succeed. By streamlining operations and enhancing the client experience, distributors empower agents to grow with confidence. - Fixing the Broken Incentives in Lead Generation
In the health insurance industry, customer acquisition is the lifeblood of sustainable growth. For an agency to grow, you need a steady stream of qualified customers searching for insurance that you can convert into sustainable policies. Lead generators and marketing affiliates play a crucial role in supporting agencies and carriers to achieve their goals. Yet, lead generation has operated under a model riddled with misaligned incentives for too long. The traditional ecosystem favors lead sellers, not the agencies or agents tasked with converting those leads into customers. This misalignment doesn’t just hurt businesses; it erodes consumer trust and drains operational efficiency.It’s time to confront the reality: the economics of legacy lead generation are broken—and they’re costing the industry. - Medicare Prescription Drug Changes Coming in 2026
The Centers for Medicare & Medicaid Services (CMS) has finalized key changes to Medicare for 2026, impacting prescription drug costs, chronic illness benefits, and access to preventive care. Whether you’re a Medicare beneficiary or a broker guiding clients through plan options, these updates will significantly shape how coverage is delivered and utilized. - This Week in Health Insurance — April 11, 2025
This week’s series covers: 2026 Medicare Final Rule Supports LTC Providers, Relaxes AI Oversight, Excludes Obesity Drug Coverage 2026 Medicare Rate Adjustment Benefits Insurers, Pressures Physicians, Raises Access Concerns Evolving Medicare Advantage Trends: Implications for Access, Choice, and Equity. - This Week in Health Insurance — April 4, 2025
This week’s series covers: Medicare Advantage in 2025 sees Part B savings rise as benefits shrink, ACA Marketplace rule public comments close soon, HIPAA security updates under review by OCR. - How Autopilot™ is Revolutionizing Health Insurance Distribution with AI & Human Oversight
Autopilot™ is the first AI-powered customer acquisition platform designed to match high-intent shoppers with the right health insurance distributors. By analyzing over 150 million data points, Autopilot™ optimizes the matching process to eliminate inefficiencies and improve ROI for distributors. - This Week in Health Insurance — March 19, 2025
Medicare Advantage costing 20% more than Traditional Medicare in 2025, according to MedPAC, Congress extending Medicare Telehealth waivers until September 2025, and CMS ending the Medicare generic drug discount program. - This Week in Health Insurance — March 12, 2025
CMS proposes new Marketplace integrity and affordability rules, plans to end the Medicare Advantage VBID model by 2025 due to costs, and the House approves a six-month Telehealth extension while advancing the funding bill to the Senate. - This Week in Health Insurance — March 5, 2025
ATA calls on Congress to act by March 31st on permanent Medicare Telehealth rules and fair payment rates. The Supreme Court will review the ACA preventive services case, examining religious freedom and insurance coverage. HHS removes the Richardson waiver, easing public input requirements for rule changes. - This Week in Health Insurance — February 25, 2025
Arizona Passes Bill Banning AI in Medical Decisions, Mandating Doctor Review, CBO Warns Expiring ACA Subsidies Could Leave 3.8M Uninsured, Raise Premiums and Rural Hospital Closures Accelerate as Medicare Tightens Telehealth Access - What’s Happening This Week in Health Insurance — February 13, 2025
CMS Partners with Department of Government Efficiency (DOGE) to Improve Operations, Announces Next Round of Drug Price Talks - What’s Happening This Week in Health Insurance — February 5, 2025
2025 D-SNP Changes: CMS replaces quarterly SEP with monthly SEPs for full-benefit dual-eligible individuals. 2026 Marketplace Rule Updates: CMS enhances oversight, transparency, health equity, and cost-sharing rules, and requires standardized plans. - 2025 D-SNP (Dual Eligible Special Needs Plan) Changes
The 2025 Final Rule from the Centers for Medicare & Medicaid Services… - What’s Happening This Week in Health Insurance — January 31, 2025
FCC’s One-to-One Consent Rule Delayed, Then Overturned by Eleventh Circuit Court, AHIP Report Predicts Medicare Advantage Challenges with Insufficient Funding, Texas Sen. Schwertner Files Bill to Curb AI Use in Health Insurance Claim Decisions - The Evolving Role of AI in Health Insurance — Part 2: Transparency and AccountabilityPart two of our series explores how AI is reshaping health insurance. Its integration into utilization management (UM) offers efficiency but sparks concerns over transparency, accountability, and equity.
- What’s Happening This Week in Health Insurance — January 22, 2025
Trump Administration Issues Executive Order, Revoking Previous ACA Policy, Second Round of Medicare Price Negotiations from the Biden Administration, ACA Enrollment Periods and Drug Pricing Pilots Repealed by Trump - The Evolving Role of AI in Health Insurance Part 1
Explore how AI is transforming Utilization Management in health insurance, improving efficiency, accuracy, and decision-making in this first installment of our series. - What’s Happening This Week in Health Insurance — January 15, 2025
Special Enrollment Period for wildfire victims, HHS’s AI strategy for advancing public health, proposed cybersecurity rules to protect healthcare data, and insights from AARP’s report on rising Medicare drug costs and price negotiations. - What’s Happening This Week in Health Insurance — January 8, 2025
The Biden Administration’s achievements in ACA enrollment, the proposed updates to HIPAA security rules from HHS, and the expansion of Medicare Telehealth services. - Navigating Complexities in the 2025 ACA Marketplace Open Enrollment Period
Healthcare.com outlines potential reasons for the decline in ACA Enrollment and how…
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