Posts Tagged ‘AEP’
CMS End-of-Year (EOY) Low-Income-Subsidy (LIS) Activities—Is Your Health Plan Up to Date?
Hopefully, you are off to a successful AEP! To keep the momentum going, here’s some valuable information and best practices regarding EOY activities, including the Low-Income Subsidy (LIS)/Reassignment process. Is your staff well-versed in these activities? Are your systems ready to accept CMS’ year-end files? If not, read on to learn more! As referenced in…
Read MoreAEP 2023—Essential Readiness Tips & the Latest CMS Guidance
Medicare Advantage Annual Enrollment Period (AEP) runs from October 15 to December 7. Since most health plans recognize growth this time of year, it is imperative to be prepared to enroll members seamlessly and accurately. Are your systems configured with the latest guidance from CMS? Has your staffing and training efforts increased to ensure work…
Read MoreHow to Produce AEP Documents & Manage Plan Benefits with Compressed Timelines
The second post in our AEP Best Practices series focuses on the critical path of the Annual Enrollment Period—how to produce AEP documents efficiently & manage plan benefits effectively with compressed timelines. It’s important to understand the risks and challenges with compressed timelines for health plans with several Plan Benefit Packages (PBPs). Here’s a graphic…
Read MoreAEP Enrollment Processing Tips—Do’s & Don’ts from End-to-End (E2E)
How well your organization handles a new enrollment during the Annual Enrollment Period (AEP) generally sets the tone for the upcoming contract year for you and your new member. Beginning with Sales and flowing to Enrollment Operations—it’s critical to understand specific actions that trigger reconciliation challenges and member abrasion. With CMS shifting the weight of…
Read MoreAEP Best Practices – How to Produce Compliant & Effective Member Communications
Planning for AEP (Annual Enrollment Period) As health plans prepare for AEP (Annual Enrollment Period), they face a multitude of challenges—ranging from compliance issues to mitigating risk related to timing, data, and documents. To help navigate these challenges, here are some key strategies and Best Practices for Compliant and Effective Member Communications we recently shared…
Read MoreThe Bridge – Volume 10
We Wish You a Successful and Compliant AEP Season! While we are all in the throes of Annual Enrollment Period (AEP), Madena is looking to support you by dedicating a newsletter to upcoming critical activities that can easily be overlooked during this busy time. CMS Low Income Subsidy Processing Have you reached out to your…
Read MoreHow Accurate ANOCs and EOCs can Help Health Plans Retain Members
The Henry J. Kaiser Family Foundation recently published an Issue Brief on its website titled “Medicare Advantage Plan Switching: Exception or Norm?” The brief shared that 11 percent of Medicare Advantage plan enrollees in 2013 voluntarily switched to another plan in 2014. It also addressed various factors that impacted switches to other plans, such as…
Read MoreTop Reasons to Use the 2017 Model Documents to Create AEP Materials
The Centers for Medicare & Medicaid Services (CMS) recently released its model documents for the 2017 Annual Enrollment Period (AEP). The rigorous, highly complex rules and regulations for member marketing materials – specifically, Annual Notice of Change (ANOCs) and Evidence of Coverage (EOCs) documents – provide significant challenges for health plans year after year. Some…
Read More4 Challenges to the Print and Fulfillment of AEP Mailings
For Medicare plans, preparing and distributing Annual Enrollment Period (AEP) materials – such as the Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) – can be a time-consuming and challenging process. These challenges extend far beyond ensuring that information is accurate and compliant and that materials are distributed on time. In fact, printing…
Read More3 Benefits of Outsourcing the Creation of ANOC and EOC Documents
Preparing materials for the Annual Enrollment Period (AEP) – namely Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) documents – can be a time-consuming, labor-intensive process wrought with compliance risk. Yet, completing these documents on time and in compliance is extremely important, as CMS has taken an increasingly tough stance on plans that…
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