Enrollment for 2026 brought major shifts for health plans, driven by new CMS rules, rising consumer expectations, and the growing pressure to modernize operations. This episode explores how plans are rethinking enrollment integrity, broker oversight, digital shopping, data quality, and how emerging interoperability requirements will reshape eligibility, provider data, and automation in the seasons ahead. Tune in to understand how these changes affect the future of enrollment, and how leading ...

Current Trends For Payers

Sponsored by HealthEdge

Lessons From 2026 Enrollment

JAN 16, 202610 MIN
Current Trends For Payers

Lessons From 2026 Enrollment

JAN 16, 202610 MIN

Description

Enrollment for 2026 brought major shifts for health plans, driven by new CMS rules, rising consumer expectations, and the growing pressure to modernize operations. This episode explores how plans are rethinking enrollment integrity, broker oversight, digital shopping, data quality, and how emerging interoperability requirements will reshape eligibility, provider data, and automation in the seasons ahead.Tune in to understand how these changes affect the future of enrollment, and how leading plans are preparing now.About Our Guest:Alex Loera oversees the enrollment and billing operations aspect of the BPaaS ecosystem. He specializes in scaling enrollment and billing operations, improving data integrity, and strengthening compliance in high-growth, regulated environments.