Topic: Brain Food

Shapes in the Fog in Government Health Programs Become Clearer

John Gorman

It’s only been four chaotic weeks into the Trump Administration, but the shapes in the fog in government health programs are slowly becoming clearer.

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Member Experience – Do You Understand Your Members and Their Needs?

Carrie Barker-Settles

sales & marketing image blog

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CMS Releases Widely Anticipated Proposed ACA regulation, the New Administration’s First Attempt at Market Stabilization

Olga Walther

On February 15, 2017, the Centers for Medicare & Medicaid Services (CMS) released its widely anticipated proposed rule introducing new market health insurance market reforms. CMS is proposing changes for stricter Special Enrollment Period (SEP) verification, exceptions to guaranteed availability, updated network adequacy requirements, and a shorter Open Enrollment Period.

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CMS Proposes Several Key Changes for Star Ratings in 2018 Medicare Advantage (MA) Draft Call Letter

Melissa Smith

The potential changes to the Star Ratings program announced by the Centers for Medicare & Medicaid Services (CMS) last week in the annual Advance Notice may look minor at first glance but are sending shock waves through Star Ratings teams this week. Although most changes proposed for the 2018 Star Ratings (for which measurement periods are generally already complete) are unsurprising, CMS has proposed several key changes worthy of feedback during the comment period: Read more

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While We Wait…How Did the ACA Fare this Open Enrollment?

Olga Walther

As the weeks go by and we continue to wait for substantive Affordable Care Act (ACA) “repeal/replace” legislation and regulations, January 31 marked the end of the 2017 Open Enrollment Period, necessitating a look into how the ACA is faring outside of the political sphere.

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The Foundation Stone of Solid Medicare Implementation

Julie Billman

Home repair becomes far more complex when something is out of square. Everything is more difficult, and work-arounds become standard. That is why a foundation stone is so important in construction – it is the first stone set, and all other stones will be built around it. Making sure it is in perfect alignment is critical. Implementing a Medicare Advantage (MA) or Prescription Drug Plan (PDP) requires the same precision. If you don’t start with things perfectly aligned, you will always be fighting a battle to keep things straight, compliant, and productive.

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How to Maximize Your Medicare Advantage Website Strategy

Angela Fox

How was your Annual Election Period (AEP)? Have you evaluated your performance? Do you need to enhance your sales and marketing strategies? Now is the time to recognize and appreciate your 2017 successes as well as confront your shortcomings.

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