The Voice of Julie Billman

Julie Billman

About Julie Billman

Julie Billman is Vice President of Operational Performance at Gorman Health Group (GHG). In this role, health plans look to her to improve operational functions, maximize plan revenue, and educate plan staff to understand and own the Medicare requirements that govern their functions. Read more

Set Up Your Operations Teams for Success in 2018

Julie Billman

I fly often, and it gives me comfort knowing my pilot completes a pre-flight checklist. I often see the pilot out on the tarmac walking around the plane giving it a quick inspection. It is a demonstration he/she takes our safety seriously.

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How to Make Your Next MA-PD Plan Implementation a Success

Julie Billman

Friends of mine built a house. They indicated it was the most stressful event, full of decisions they didn’t know they needed to make, and struggled to agree. The timeline they hoped for was not reality and had to be reworked. While they said they were stronger having gone through the process and they love their house now, it wasn’t the fun event they thought it would be, and they never want to build a house again.

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Creating Your Plan for the Readiness Checklist

Julie Billman

In 2017, the Centers for Medicare & Medicaid Services (CMS) moved from a Readiness Attestation to a Readiness Checklist with a Strategic Discussion with your Regional Office. A movement away from attestations may move some plans to take the process less seriously. CMS raises issues in the Readiness Checklist because they are either critical components or because they are areas of risk. It isn’t often in life we are handed a list we can use to double-check critical components are in place.

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How to Watch for Eclipses in Your Reconciliation Process

Julie Billman

On Monday, the United States experienced the first full solar eclipse since 1979. In order to get the full impact of the eclipse, without causing vision damage, a certain type of glasses or an indirect viewing method was needed. It was an exciting event for those who took the time and had the opportunity to see it. In a small number of locations, it became totally dark for a few minutes and thus easily identified. In other locations, it was not visible without stepping outside to look for it with the right tools.

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Complaint Management – Identifying the Riptides Drowning Your Health Plan

Julie Billman

Do you know the signs of a riptide? Often the general public isn’t aware of riptides when they go to the beach. The change in the way the water moves and breaks on the shore is something lifeguards keep an eye on to keep swimmers safe.

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Top Three Areas to Evaluate in Medicare Advantage Customer Service

Julie Billman

A few years ago I lived in Utah, which is an amazingly beautiful state. I visited Bryce Canyon and went horseback riding into the canyon. My horse’s name was Anaconda, and his size lived up to his name. I grew up around horses, but it had been decades since I was on one. The tour started, and it wasn’t very long before I thought I made a big mistake. I had a hard time staying centered on Anaconda, and the other horses were walking right on the edge of the cliff. To top it off, I’m afraid of heights.

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Implementation Goals: Four Critical Components to Your MA-PD Work Plan

Julie Billman

Starting your Medicare Advantage Prescription drug (MA-PD) plan on the right foot and staying out of the non-compliant spotlight are two important goals for implementing your new plan. The 2018 MA-PD Application Cycle is coming to an end, and new health plans are moving through their first bid process. Ideally, your implementation is well underway, having started the end of 2016 for a January 1, 2018, effective date. Additionally, some organizations are now considering entries into MA-PD for a 2019 or 2020 start date. No matter which group you are part of, there are several key things which should be included in your work plan that are often not considered in your original implementation. Don’t worry – if they aren’t on your work plan yet, there is still time for 2018!

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