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- Cathy Aquino on Benefits are Submitted. What’s Top of Mind for 2019 Marketing & Sales?
- CMS Doubles Down on Member Experience – FAQs | Gorman Health Group Blog on CMS Doubles Down on Member Experience
- Regan Pennypacker on Latest Audit Enforcement Actions Issued by CMS
- Kathleen Chapman on 2019 Medicare Advantage Rate Announcement & Call Letter
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Thank you to all who came to the Gorman Health Group (GHG) webinar regarding the 2019 Centers for Medicare & Medicaid Services (CMS) Medicare Communications and Marketing Guidelines (MCMG). We had a great attendance and are working to answer all of your questions and get a Q&A to all who attended plus the presentation! We wanted to take a minute to discuss a few items where GHG received a large number of questions: mailing statement disclaimers, Open Enrollment Period (OEP) beneficiary plan changes, and website review.
Gorman Health Group will conduct a webinar on the new guidelines in the next couple of weeks, but we wanted to get this out right away as the Centers for Medicare & Medicaid Services (CMS) has rewritten the Medicare Marketing Guidelines (MMG) for 2019. A lot of information is the same but just condensed – there are a lot changes! Here is the top 10 list of 2019 CMS MCMG changes: Read more
I am shocked the 2019 Medicare Marketing Guidelines (MMG) did not come out last Friday since that is when I started vacation. But no… a week later, we are still waiting, and now the wait really starts to impact the development of our marketing strategies and tactics.
Friends, some hot intel from the field for Medicare Advantage (MA) in 2019:
- Expect many new entrants to the MA market, especially provider-sponsored plans moving up the food chain.
- We are seeing benefits improve by $20-40 PMPM, dependent on county revenue-to-cost ratios and plans’ Star ratings. Expect to see many more low-cost, narrow network products. Premiums will hold the line or fall, with $0 PCP copays going mainstream.
- We are continuing to see new $0 or low cost plans this year – that is where enrollment is growing. Plans are adding new products to capture the New to Medicare market.
- We are expecting to see many cobranded products this Annual Election Period (AEP) with regional and national players teaming with local health systems and physician groups.
- We are seeing an increase in marketing budgets this year, plus more aggressive sales distribution strategies, since many Plans understand that this year and next are expected to be big growth years. The reinstatement of the new (old) Open Enrollment Period (OEP) fundamentally changes your sales and marketing strategy. For new plans, or those new to MA, who have never been through an OEP, there is even more to consider from a strategic perspective.
- We are seeing dental and over-the-counter drug benefits being added to most products, as well as a widespread increase in travel benefits, which Boomers love.
- Groundbreaking new supplemental benefits under the new CMS policy won’t be the norm in 2019. Most plans simply didn’t have time after the April announcement and the bid deadline. 2020 however will see an explosion, especially in at-home essential care benefits and palliative care, transportation, and telehealth. An OTC benefit will be a game-changer in the new era of expanded supplemental benefits in MA in 2019 and beyond. Not only do OTC products delivered to the member provide tremendous value and loyalty, but when used as an incentive in chronic care management it changes behavior and improves member adherence. Our merger partners at Convey Health Solutions are the best at it. Learn more here.
Good Morning David, its 7 a.m.
Good morning Alexa, what is on the calendar this morning?
Supreme Court Justice Kennedy’s decision this week to retire will set in motion a battle royal to fill his seat. Many are focused on the implications of a stacked conservative court for abortion rights, but a new right-wing justice handpicked by Trump likely will also reach much further into healthcare issues. We need to start thinking about what Kennedy’s retirement means for Medicaid work requirements, Medicaid expansion, and even the very legality of the Affordable Care Act (ACA).
Now that benefits have been submitted, the emphasis is turning to Sales and Marketing. When speaking with different Medicare Advantage plans across the country, you start to hear different things about what is going to be important for Marketing and Sales this Annual Election Period (AEP) and Open Enrollment Period (OEP). Here is some of the top “buzz” we have been hearing from plans: Read more