Penstock

CMS is shifting more power to states in ACA marketplaces. Is your team ready? For issuers, that means navigating new policies, plan design requirements, cost-sharing caps and formulary rules as states transition off the federal platform. These changes could bring both opportunities and new regulatory complexities for issuers operating in multiple states. ?? Watch now:?https://lnkd.in/d79Jr_FN #HealthPlans #ACA #NBPP2026 #HealthInsurance #RegulatoryJoe

Expanding into the ACA market goes a lot smoother with a plan. Softheon’s Kevin Deutsch & Penstock ’s Joe Boyle break down the roadmap for a smooth market entry—covering compliance, operational readiness, and strategic positioning. Don't underestimate the time and support you'll need ?? ??

SHOCKING ACA pitfalls—our experts break them down. What teams keep getting wrong (and how to fix it). ?? Join Kevin Deutsch, our General Manager & SVP of Health Plan Cloud, and Joe Boyle, President of Regulatory Solutions at Penstock .

Think compliance has to be complicated? Think again. ClearFile transforms the filing process into a seamless experience with streamlined workflows, step-by-step assistance and deadline management. When compliance is seamless, your team can focus on driving results—not managing paperwork. #HealthPlans #RegulatoryFiling #RegulatoryCompliance

Think a second-pass audit can’t make a difference? Think again. When a national Medicare Advantage health insurer needed a fresh perspective on provider claims, Penstock delivered. With advanced tools and a meticulous approach, we uncovered $4.8M in potential savings that seven incumbent auditors missed. Ready to discover what we can recover for you? Message us to connect! #PaymentIntegrity #HealthPlans #ClaimsManagement

Issuers are getting a head start on 2026 planning thanks to a key timing change from CMS. For the first time, CMS released the final rule in mid-January, giving issuers more time to review, adjust, and strategize for the upcoming plan year. What does this mean for compliance, plan design, and implementation timelines? Joe Boyle breaks it down in the latest episode of Regulatory Joe. ?? Watch now:?https://lnkd.in/d79Jr_FN #HealthPlans #ACA #NBPP2026 #HealthInsurance #RegulatoryJ

Behind every healthcare dollar is a code that tells a story. ICD coding isn’t just about documentation—it’s the backbone of fair payments, accurate care, and smarter healthcare decisions. Mistakes ripple through the system, impacting providers, payers, and patients alike. When coding is accurate, the healthcare system is stronger. Let’s elevate your coding accuracy together. #PaymentIntegrity #ICDCoding #HealthPlans

The 2026 NBPP is here—finalized earlier than ever. More time to prepare, but no time to wait. CMS is shaking things up with major policy shifts that will impact issuers, pricing strategies, and compliance in big ways. In the latest episode of Regulatory Joe, Joe Boyle?is breaking down the biggest updates, what they mean for issuers and the steps you should be taking now to stay ahead. What’s your biggest question about the 2026 NBPP? Drop it in the comments! #HealthPlans #HealthInsurance #ACA #NBPP #RegulatoryJoe

The American Rescue Plan helped drive record ACA enrollment—but what happens if CMS unwinds it in 2026 or 2027? A rollback could trigger a significant drop in membership nationwide, reshaping risk adjustment transfers and issuer strategies. If it stays, expect shifts in user fees and financial dynamics across the market. Joe Boyle breaks it all down in the newest?episode of Regulatory Joe: https://lnkd.in/d9td2fJy #AmericanRescuePlan #HealthPlans #CMS #RegulatoryJoe

Nothing says Valentine’s Day like… regulatory filing? ?? Swipe through to see Regulatory Joe’s cards for you to send to your health plan friends who love nothing more than an error-free submission. #HealthPlans #RegulatoryFiling #CMS Joe Boyle