Sellers Dorsey Releases White Paper on Data Collection for Qualified Health Plans

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Paper Outlines Strategies for Improving Financial Performance

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Qualified Health Plans are experiencing an influx of new members and the data that comes with those new members. Developing and implementing a strategic plan to track this data is crucial as it will impact a plan’s financial performance.

Sellers Dorsey, a national healthcare consulting firm, released a white paper today entitled “Data Collection for Qualified Health Plans.” The paper provides recommendations to health plan executives on how to track financial data in this new healthcare environment. Sellers Dorsey has talent and expertise in the areas of healthcare financing policy, operations, and information technology.

“Qualified Health Plans are experiencing an influx of new members and the data that comes with those new members," said Senior Consultant Bill Larkin, who authored the white paper. “Developing and implementing a strategic plan to track this data is crucial as it will impact a plan’s financial performance.”

Under the Affordable Care Act (ACA), Qualified Health Plans will be required to make extensive and accurate plan data accessible to the Centers for Medicare and Medicaid Services through a distributed data system. Since many key provisions of the ACA will be administered using this data, plans should be considering how to prepare to support this requirement. Plans that fail to blueprint effectively may face exposure to adverse risk adjustment liability, cash flow shortfalls, and possible non-compliance penalties.

Topics addressed in this white paper include:

  •     Payment Flow for Qualified Health Plans
  •     Plan Management: Reconciliation, Reinsurance, and Risk Adjustment
  •     Considerations for Qualified Health Plans

To download a copy of the white paper, visit the website.

About Sellers Dorsey

Sellers Dorsey consists of an industry-leading team of consultants and thought leaders from the worlds of policy, government, business, and industry, allowing the firm to provide a fully integrated suite of services to clients. Sellers Dorsey has a deep understanding of Medicaid, having consulted in over 30 states on a range of financing, policy and operational projects, and Medicare financing and policy. Its reputation is one of creativity and accomplishment. More at http://www.sellersdorsey.com.

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Contact:
Christopher R. Labonte, Principal and Director of External Affairs
clabonte(at)sellersdorsey(dot)com
T: 215.279.9746 C: 215.514.4377

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Christopher Labonte
@SellersDorsey
since: 05/2009
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