 |
Current Trends For PayersAuthor: Sponsored by UST HealthProof
Insider insights and perspectives on trending topics for healthcare professionals. Were talking to the experts about the unique operating infrastructure necessary for business success and to improve the quality of care for members. Topics include BPaaS, technology, data security, operations, core administration, care management, member engagement, risk adjustment, HEDIS and Star quality measures, start-up and growth tactics, and regulatory and compliance. Language: en-us Genres: Government Contact email: Get it Feed URL: Get it iTunes ID: Get it |
Listen Now...
Lessons From 2026 Enrollment
Episode 6
Friday, 16 January, 2026
Enrollment for 2026 brought major shifts for health plans, driven by new CMS rules, rising consumer expectations, and the growing pressure to modernize operations. This episode explores how plans are rethinking enrollment integrity, broker oversight, digital shopping, data quality, and how emerging interoperability requirements will reshape eligibility, provider data, and automation in the seasons ahead.Tune in to understand how these changes affect the future of enrollment, and how leading plans are preparing now.About Our Guest:Alex Loera oversees the enrollment and billing operations aspect of the BPaaS ecosystem. He specializes in scaling enrollment and billing operations, improving data integrity, and strengthening compliance in high-growth, regulated environments.
