Marketplace Solutions

As the health care system continues to forge, health insurance plans are looking for products and services to help address the changes and challenges that ongoing health care reform implementation presents.

Marketplace Solutions is a showcase of solutions and thought leadership focused on building a smart and sustainable health care system.

This [presentation/paper/etc.] represents the views of the author, not America's Health Insurance Plans (AHIP).  The publication, distribution or posting of this [presentation/paper/etc.] by AHIP does not constitute an endorsement or guarantee of any product or service by AHIP.  

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Click here for a selection of videos and podcasts showcasing the latest technology and services supporting our health care delivery system.

HighRoads

The Source for Payers to Automate Their Benefits Plan Management
April 30, 2013
Now with health care reform’s increased compliance, data collection, reporting and tracking challenges, plan management systems are now critical to cost effectively and accurately generating competitiveness and profitability. Plans need to centralize benefits plan information as a foundation for future success by reducing complexity with managing and updating benefits plan information. Listen in as HighRoads explains ways to increase cost savings for health care and administration.

Accenture 

mHealth: Leading Mobility Trends and Opportunities in Healthcare 
March 28, 2013
The use of mobile technology in healthcare is fostering big changes across the healthcare industry. Accenture’s leading experts in mobile health Lisa Mitnick, Executive Director of Mobility Services and Frances Dare, Managing Director of Connected Health Practice take a look at what is driving increased mobility in healthcare and the latest best practices and cutting-edge mobility trends for engaging patients. In this podcast series they present ways that mobile health can deliver value added services to consumers and providers, allow consumers self-health management, enable connectivity and collaboration among clinicians, improve management of patients with chronic diseases, and enhance payer-provider business services.

Solutions are just a white paper away. Click here for a selection of white papers and case studies that address some of the most challenging topics facing health plans today.

 

Fraud, Waste, and Abuse

AHIP Healthcare Fraud Learning Options
Through multiple course you will gain insight into investigative methods for detecting fraud, including abuse by consumers, agents, and others. You will discover how fraud affects a range of insurance products. And then you will sharpen your skills at combating fraud by exploring public and private enforcement activities.

Fraud, Part I (Introduction) - Online
Fraud, Part II (Key Products) - Online
Fraud, Part III (Legal Issues) – Self Study  

AHIP Educational Publications:  

  • Health Care Fraud: An Introduction to Detection, Investigation, and Prevention  
  • Insurance Fraud in Key Products: Disability, Long-Term Care, MedSupp, Drug Coverage, & Others  
  • Legal Issues in Healthcare Fraud and Abuse: Navigating the Uncertainties  

Visit AHIP’s Insurance Education Website for more detail on course and publications.

Company Product and Service Guide

Use this site to search for organizations with the products and services you’re looking for to support your health plan. You may search by company, topic area and more.

Ask a Select Member

AccentureAccenture’s committed professionals combine real-world experience, business and clinical insights and innovative technologies to deliver the power of Insight Driven Health.

SelectAHIP’s Select program features leading companies with products and services that are most critical to health care reform implementation, offering you solutions to meet even your most complicated challenges.    

AfiliateAHIP’s Affiliate Organizations are a wide range of multi-faceted organizations that provide products and services to the health insurance industry.