Posts by Deb Mabari
MA and Part D Plans: Jumpstart Your CY2016 ANOC and EOC Documents Creation
In late January, CMS released the “CY 2016 PBP/SB Software List of Changes and Known Issues,” which includes a summary of the changes to the Plan Benefit Package (PBP) software that Medicare Advantage and Part D plans will use to upload their 2016 AEP materials bid submissions to CMS later this year.
Read MoreExpert Q&A: Hot Topics at Medicaid Innovations
Q: Your team recently attended and presented at the Medicaid Innovations conference in Orlando. What was a hot topic there?
Read MoreCMS Announces Quality Rating System for Qualified Health Plans
Beginning in 2016, all Qualified Health Plan (QHP) issuers operating in healthcare exchanges will be required to submit strict quality data on a number of measures under the Center for Medicare and Medicaid’s (CMS’) Quality Ratings System (QRS).
Read MoreSurviving the 2015 AEP Materials Creation Process – Part 2 of 2
Medicare plans are mid-way through the process of creating Annual Election Period (AEP) materials – namely, Annual Notification of Change (ANOC) and Evidence of Coverage (EOC) documents – that are due to members by the end of September. At this stage of the game, tension is running high. By now, many health plans have likely…
Read MoreSurviving the 2015 AEP Materials Creation Process – Part 1 of 2
The Centers for Medicare & Medicaid Services (CMS) recently released its model documents for the 2015 Annual Enrollment Period (AEP). The rigorous, highly complex rules and regulations for member marketing materials wreak havoc on health plans year after year – and the clock is now ticking. Medicare plans must create, print and deliver AEP materials,…
Read MoreHow the ACA Will Create a More Portable Workforce
Health insurance, pensions, retirement plans and other employer-sponsored benefits were originally created during World War II as a way for companies to be more competitive in attracting and retaining employees. Countless factors over the decades have changed the shape of company benefits, but the Affordable Care Act (ACA) is going to dramatically change the dynamic…
Read MoreThe Millions of Dollars in Savings You’re Not Seeing – PART 2 of 2
The “cost to do business” doesn’t have to be so expensive for government-sponsored health plans. Most payers are overspending on their annual print and fulfillment budget for member communications by 10-15 percent. For plans with 250,000 members, for example, cutting a 15 percent overspend factors to saving $1.2 million a year. There are a number…
Read MoreThe Millions of Dollars in Savings You’re Not Seeing – PART 1 of 2
The “cost to do business” doesn’t have to be so expensive for government-sponsored health plans. Most payers are overspending on their annual print and fulfillment budget for member communications by 10-15 percent. For plans with 250,000 members, for example, cutting a 15 percent overspend factors to saving $1.2 million a year. There are a number…
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