Health Insurance Exchange Compliance

Visante can help you implement a new Health Insurance Exchange Compliance program or improve your existing program

Regardless of your state’s position on Medicaid expansion and overall program integration with established exchanges, states continually promulgate new requirements that demand expedited adherence. Our Government Programs, Health Plan, and PBM Services consulting team has the health plan and PBM field and consulting experience that will help you to implement compliant and effective programs that will coordinate with your state’s health priorities and exchanges and be assessment and audit ready.

Visante provides a comprehensive list of services in this area:

  • Audit readiness preparation, gap assessments and remediation support
  • Ongoing monitoring of new requirements and compliance support
  • Compliance support for exchange formulary rules and requirements
  • Assistance with integration of specialty pharmacy programs into HIX offerings
  • Operational assistance with requirements for prior authorizations, exceptions and appeals

Looking for more information? Check out these links to helpful articles and information from our experts:

General information