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…

Read More

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…

Read More

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…

Read More

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…

Read More

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…

Read More

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…

Read More

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…

Read More

TAMPA, Fla. (June 25, 2018) — Responding to a recent uptick in health plan clients and the growing need for health plan consulting services, Tampa-based CODY has hired four new team members, including Hannah LaMere as Director, Special Projects and three new consultants. These new hires will grow the company’s consulting department and help clients…

Read More

In its 2019 annual notice, The Centers for Medicare & Medicaid Services (CMS) issued regulatory changes that impact how and when health plans must provide Evidence of Coverage (EOC) documents to members. What the Rule Allows The rule brings the following major changes to Medicare Advantage Organizations (MAOs), Medicare Prescription Drug Plans (PDPs), and section…

Read More

Complying with state and federal rules and regulations is a challenging endeavor. It requires health plans to manage a slew of different processes and resources.  Missteps pose risks that could result in compliance violations, fines and a drop on CMS’s Five Star Quality Ratings. Some of the most difficult areas to manage, from a compliance…

Read More