When the public health emergency ends, between 12-14 million people could lose Medicaid coverage, according to various estimates. Adults with and without children will be the hardest hit (see figure below). Healthcare organizations should be very concerned about the...
Over the last couple of years, frontline healthcare workers are not the only ones who have been experiencing the effects of staffing shortages. According to a recent survey from the Healthcare Financial Management Association (HFMA), the most in-demand jobs within the...
If you have prescription drug coverage through a Medicare Part D plan, you need to know about the coverage gap, also called a donut hole. Most people never reach this gap phase, but it’s still good to know about it so you aren’t blindsided by the costs if you do. ...
The amount of medical debt turned over to collections makes up the largest amount of consumer debt in the US. This is particularly concerning for providers who are facing slimmer margins as a result of increased costs and decreased patient volumes. As of...
If you were enrolled in a health insurance marketplace plan in 2021 and received tax credits, you must file a 2021 federal income tax return by April 15, 2022. Because filing taxes is confusing, we’ve outlined the steps you need to take and provided some resources to...
Revenue cycle management solutions have been stagnant for years, and now with the pandemic and Great Resignation at hand, you have a staffing shortage within your organization or facility that is costing you unnecessary money. The shortage can...
The world we live in is changing at a bolstering rate, from the way we communicate to the ways we work. While most of these changes are for the better, some areas need to be addressed, such as the ways we receive our healthcare. The last two years have...
With the Open Enrollment period having come to an end, it’s important to be aware of the ways you can receive healthcare coverage outside of the traditional enrollment window. What you need is a qualifying event, which is a specific circumstance that has changed your...
We’re excited to announce that we will be the official Health and Wellness sponsor of the 2022 Cologuard Classic! When and Where This year the Cologuard Classic PGA TOUR Champions event will be held at the Omni Tucson National Resort in Arizona from...
A recurring theme I heard during the HFMA Western Region Symposium last week was the correlation between patient experience and revenue. Good patient experience increases loyalty and your bottom line. For hospitals and health systems, this can seem like a daunting...
Did you know that you can enroll in an Affordable Care Act (ACA) marketplace plan any time during 2022 based on your income or other qualifying events? Thanks to a new special open enrollment period, individuals or families making below 150% of the federal poverty...
If you enrolled in a Medicare Advantage plan or a Medicare Advantage Drug Plan and aren’t happy, you can make a change between January 1 - March 31, 2022. This special enrollment period is only for people who enrolled in a Medicare Advantage plan in 2022 What Can I Do...
The 340B program allows qualified providers, called covered entities, to buy outpatient prescription drugs at a discounted price, known as the “best price” on the market. The average savings in pharmacy costs for covered entities is between 25-50%, according to the...
With the introduction of each new covid variant, a lot of us are beginning to wonder when or if the pandemic will ever end? And to be honest, there is no correct answer to that question just yet. But we do have the answers to a lot of other questions we didn’t have...
If you are attending the Healthcare Financial Management Association Western Symposium (HFMA-SW) in Las Vegas, stop by booth 336 to meet the American Exchange team of revenue cycle management (RCM) experts. Our focus for this event, which runs from January 16-19, is...
As we welcome in the new year, so do pharmaceutical companies with new increased prices on their prescription medications. Unfortunately, as we all know, this is nothing new, and this year’s median increase according to GoodRx is 5.0% on over 450 drugs so...
This year's Open Enrollment has already surpassed every Open Enrollment since its inception in 2013, with 13.6 million people have signed up for coverages on the Affordable Care Act's exchanges so far, and almost two full weeks remaining. This year, the...
It's been an eventful year for us all here at American Exchange, and we're proud of what we've accomplished within our communities in 2021 and what we plan on doing for the upcoming year! Here's our end of the...
Rising canceled debt continues to impact your bottom line. Between 2015-2017 uncompensated care cost the healthcare community $42.4 billion per year (Kaiser Family Foundation (KFF). KFF estimates that the government used tax dollars to cover 80% of those costs...
If you are new to the Affordable Care Act (ACA) marketplace or if you just need a refresher, here is a list of the healthcare services that your plan must cover. If you haven't signed up yet, you have until January 15, 2022. Your health coverage would start February...
Over the last 30 years, technology has evolved in ways that we never thought possible. It has made it easier to stay in contact with family and friends, it has given us endless forms of entertainment, and now it is here to...
If you’re searching on the internet for a comprehensive health plan to cover all your medical needs in 2022, be careful. You could unknowingly reach out to a company that is pushing a short-term or “junk” health plan, which doesn’t provide full coverage for your...
As wintertime approaches us, along with it comes overcast skies, chilled temperatures, and sometimes the ‘winter blues.’ These changes in weather often bring about feelings of gloom and melancholy, which often don’t affect our way of life, but if they do, it may...
Studies show that protection from the COVID-19 vaccines goes down over time. To lower your risk of severe disease, hospitalization, and death, the CDC recommends COVID booster shots for people at high risk or third doses if you are immunocompromised. The additional...
