Our Client, one of the largest insurers, engaged Trexin to lead a comprehensive reconciliation program to recover premium subsidy revenue across a base of nearly 1 million members and reconcile federal eligibility with the Centers for Medicare and Medicaid Services (CMS).
Business Driver An innovative Healthcare Consumer-Oriented and Operated Plan (CO-OP) established under the authority of the Affordable Care Act (ACA) was weeks away from the deadline to submit their data to the Centers for Medicare and Medicaid Services (CMS), yet they did not yet have a program in place to<span. . .
Our Client, one of the largest healthcare Payers, needed a comprehensive solution to comply with the requirements for submitting healthcare data to the U.S. Department of Health and Human Services (HHS) that would go into effect as a part of the Affordable Care Act (ACA).