Sales Oversight – Essential Guidelines

Carrie Barker-Settles

All agents are expected to comply with the Centers for Medicare & Medicaid Services (CMS) regulations and guidelines, federal and state laws, and health plan rules, policies, and procedures.  But what does that mean, and how can health plans enable their employed sales staff and contracted agents to stay compliant while achieving target goals and growth?

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Strive For Progress, Not Perfection, Because It Doesn’t Exist

Regan Pennypacker

This week was a productive one for CMS and Compliance professionals. The 2015 Part C and Part D …

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Double Your Value: Three Critical Ways CMS Audit Readiness and the Member Experience Program Intersect

Julie Billman

What do the Centers for Medicare & Medicaid Services (CMS) program audits and member experience programs have in …

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MACRA Flexibility Proposal

Olga Walther

As we enter the last stretch of the year, many questions remain on what to expect from the …

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Star Ratings Plan Preview #2: 2017 Trends to Improve 2018 Scores

Melissa Smith

With the Centers for Medicare & Medicaid Services (CMS) release of 2017 2nd Plan Preview Star Ratings and …

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An “October Surprise” in Medicare Advantage Star Ratings

John Gorman

Each year, one of the most anticipated announcements in the Medicare Advantage (MA) industry is the Star Ratings …

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Keep the End in Mind as 2017 Readiness Approaches

Wayne Miller

According to Author Stephen Covey, in his book The Seven Habits of Highly Effective People, you should “begin …

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