CODY® Insights

An Advance Look at Medicare Advantage Benefits Changes for CY2020

Every year, the Centers for Medicare and Medicaid Services (CMS) updates its Plan Benefit Package (PBP) Software that Medicare Advantage (MA) and Part D plans use as part of their bid submissions. The PBP Beta Software is released in late January to allow plans to test and provide feedback before the full version is available…

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4 Ways to Help Maintain Version Control

Health plans struggle to keep track of the different iterations of documents as they build and produce CMS-required documents such as the Annual Notice of Change (ANOC), Evidence of Coverage (EOC), Summary of Benefits (SB) and other member and provider materials. The good news is, achieving version control is not impossible. In fact, with the…

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CODY hires Devang Shah as Enterprise Architect

Tampa-based CODY has hired seasoned managed care technology veteran Devang Shah as Enterprise Architect. In this role, Shah will create and execute a long-term strategic roadmap for the architecture of CODY’s IT systems, including CodySoft®, a revolutionary suite of web-based software products designed specifically for health plans and their complex environment. CODY works with more…

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CODY launches CodySoft® Plan Benefit Package Module®

New CodySoft® module revolutionizes the way health plans manage data TAMPA, Fla. (Nov. 28, 2018) — Adding to its already extensive list of tools and services for health plan marketing and compliance departments, CODY has launched the CodySoft® Plan Benefit Package (PBP) Module®. The module allows plans to import data from multiple sources, including directly…

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What Health Plans Can Expect from CMS in 2019

In 2018, The Centers for Medicare & Medicaid Services (CMS) announced regulatory changes that impacted how and when health plans must provide Evidence of Coverage (EOC) documents to members. Uncoupling the EOC from the Annual Notice of Change (ANOC) document mailing, allowing for electronic delivery of the EOC and extending the EOC delivery deadline to…

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4 ways to reduce – or eliminate – errors in your ANOCs and EOCs

The accuracy of Annual Notice of Changes (ANOC) and Evidence of Coverage (EOC) documents is an important requirement for all health plans. The Centers for Medicare and Medicaid Services (CMS) takes errors in these documents very seriously and penalties are given to health plans that distribute documents with errors. CMS recently announced changes to the…

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PERSPECTIVES: Combining Medicare and Medicaid into One Program

The status quo of government-sponsored health programs is beginning to fail. The government recently reported that Medicare will run out of money in less than 20 years unless drastic changes are made. But how can our health care system be altered to correct deficiencies and adjust to changing conditions, avoid a huge financial crisis in…

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Dealing with Change in the Medicare World

The healthcare world and Medicare health coverage are in a state of rapid and uncertain change. What can health plans and those serving health plans, such as pharmacy benefit managers and even consultants, do to be ready for both anticipated and unanticipated changes? Here are some of the issues facing the industry in today’s turbulent…

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What Sets CODY Apart from Other Consulting Firms

Health plans have many options when searching for a consulting partner to help streamline operations and/or outsource key business functions – and not all of them are created equally. There are certain traits to look for when hiring a great consulting partner and many will check most or all of these boxes. So, what sets…

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