Summary of CCIIO’s April 2023 QHP Filing Webinar
Issuers in all Federally Facilitated Exchange state, including those operating in states that have elected to perform review must submit…
Our Insights
Between our previous experience leading network strategy teams & our obsession with keeping close tabs on an ever changing health care landscape, we’ve spent a lot of time thinking about provider networks.
We’d love to serve as a resource for you and your team. Check out some of our thoughts below!
J2’s Provider Universe
At J2, we spent a lot of time talking about optimizing provider networks. How do we show users the impact…
J2 Provider Network Glossary (Part 2): Important Acronyms
J2 is proud to share Part 2 of our glossary series: Important Acronyms! Before going live with this post, we…
J2 Provider Network Glossary (Part 1)
Health care is complex and the language around the industry is often full of jargon and acronyms. This can often…
Network Compliance Adds Up To Costly Penalties For Payers
The regulatory climate is changing throughout healthcare. While payer organizations have always been under scrutiny, the intensity of regulatory moves…
Designing Smart Networks: Thinking Beyond Adequacy in Expansion Markets
(Written in collaboration with Payr Health) Payers looking to expand into new markets, at a minimum, need to meet regulatory…
Brief: Equalizing Access to Care
As payers look to address equity for their members, the ideal place to begin is by building provider networks that…
Bright Health Reflections
With last week's news on Bright's exit from the Individual Market, we've had some great conversations and reflections on the…
New ACA Adequacy Rule Expands Access but Means Big Changes for Health Insurers
The final ACA Network Guidance expands health care accessibility for consumers, but the majority of plans will have to play…
How to Solve the $320B Health Equity Problem
If a quality program could remove $320 billion in annual spend while also benefitting underserved communities, there’s no doubt everyone…