As Medicare and Medicaid increasingly move away from fee-for-service payments, healthcare systems and providers must adapt to alternative models that include financial risk. However, those costs aren’t spread out evenly among the patient population. Just 5% of Medicaid recipients make up 54% of the total Medicaid expenditure, for example. While this subset of beneficiaries, known […]
The 2021 Medicare Annual Election Period (AEP) poses several unique challenges for health insurance providers. Due to COVID-19, seniors are interacting with marketing in different ways, CMS approval times are uncertain, and social distancing is impacting methods of enrollment. The need for translated documents and language support add another layer of complexity when you want […]
With uncertainty around approval times, ensuring you are working with a robust version control process is critical to ensuring compliance with CMS guidelines. The Medicare Annual Election Period (AEP) for 2021 is almost upon us, and it is important for potential members to fully understand their plan options and benefits. Connecting with the steadily growing […]
CMS has proposed an important update to the chapter 3 of the Medicare Marketing Guidelines regarding the Summary of Benefits. Here is the proposed guideline: “Beginning CY 2017, HPMS will no longer generate the SB. Plans/Part D Sponsors must develop their own SB based on their bid data in HPMS and within the parameters of […]
Translating Medicare Advantage Plans should be a choice not a chore, so we’ve laid out our top 5 tips for getting the job done, pain free and as efficiently as possible.