Posts Tagged ‘health plans’
How Can a “Single-Source Solution” Help Manage the Lifecycle of Member Communications?
If you are tasked with the challenge of managing the lifecycle of Member Communications—you likely need an efficient “Single-Source Solution” to help. Managing multiple vendors for document development & creation (ANOCs, EOCs, SBs/SOBs/SBCs, Pre & Post Enrollment materials), translations, Section 508 remediation, directories & formularies, as well as the sourcing of member communications print &…
Read MoreCODY CEO authors chapter in new book for healthcare compliance professionals
Deb Mabari’s chapter covers payer privacy issues in the Health Care Compliance Association’s latest edition of “Health Care Privacy Compliance Handbook” TAMPA, Fla. (Oct. 27, 2020) – Deb Mabari, chief executive officer of CODY®, a Tampa, Fla.-based healthcare technology and consulting firm, has authored a chapter in the Health Care Compliance Association’s newest edition of…
Read MoreCODY Launches CodySoft Appeals and Grievances Module
The new CodySoft Module is part of an enterprise-wide solution to help health plans manage critical aspects of CMS compliance and reporting. TAMPA, Fla. (May 5, 2020) – CODY®, a Tampa, Fla.-based technology provider and consulting firm, has announced a new addition to its CodySoft® toolkit for health plans. The Appeals and Grievances Module® is…
Read MoreWhat 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…
Read More6 Traits of a Great Consulting Partner
In the world of Medicare and Medicaid, choosing a consulting partner to help streamline your health plan’s operations can be tricky. While a company or individual may be well-versed in best practices for project management or operational efficiency, they may not understand the unique requirements of the payer market – making them less than effective…
Read MoreCodySoft® Adds Part C and Part D Reporting Feature
CodySoft® has added a new feature to its Investigations Module®, making it easier for health plans to pull their Part C and Part D reports on plan oversight of agents. Even though the Centers for Medicare & Medicaid Services (CMS) no longer requires this report in the annual Part C and D reports, health plans…
Read MoreThe Secret to Simplifying Health Plans’ Member Marketing Material Translations: A Parallel Project Path
We’ve seen first-hand the frustrations health plan project managers experience in translating their member marketing materials – including Annual Notice of Coverage (ANOC), Evidence of Coverage (EOC), Drug Formulary and Summary of Benefits (SB) – to additional languages. The question for our CodyPrint® team became: What would give project managers visibility to the translation process,…
Read MoreIndustry Alert: Is Your Health Plan the Target of CMS’s New Audit Focus?
Vikki Ahern, CMS Director for Medicare Part C/D Oversight and Enforcement Group (MOEG), spoke at this week’s 2017 HCCA Managed Care Compliance Conference. It served as a wake-up call for compliance professionals in attendance. Although an explanation of CMS’s reasoning was not provided, Vicki Ahern stated that CMS will specifically target small parent plans for…
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 More3 Predictions in the Wake of Recent Health Plan Mergers
In case you missed it, Aetna and Anthem recently signed deals to merge with health insurance giants Humana and CIGNA, respectively. These mergers have created quite a stir in the insurance market, with many experts left questioning what this will mean for the managed care and commercial market in the years to come.
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