Topic: Strategy

The Member Experience: A Way in Which to Preserve Your Investment

Nilsa Lennig

I was on a client call last week with a few of our Gorman Health Group Sales, Marketing & Strategy subject matter experts presenting a sales and marketing budget the team created to help illustrate pre-operational investments in sales distribution and marketing strategies to a potential “new market” entrant. These budgets are two pieces of a much larger “Go, No Go” analysis we performed for this client, however, the discussion around these budgets led to a question from our client’s CEO that could, in essence, define the future success of this health plan in Medicare Advantage: “Does this budget account for initiatives that will enhance the members’ experience?”

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Still Mean: Senate GOP Releases ACA Repeal Bill That’s Worse Than House

John Gorman

After six weeks of intensely secret negotiations, the “Better Care Reconciliation Act of 2017” (BCRA) is out, and it’s much worse than the House’s AHCA. The story remains the same: worsening benefit cuts for the poor to provide a tax cut for the rich. After Trump called it “mean,” and literally every healthcare organization has rallied against it, the hoped-for moderating influence of the august upper body of the U.S. Congress is gone. TrumpCare is still mean.

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Three Reasons Why Pre-AEP Marketing Is Critical

Diane Hollie

One of the reasons healthcare marketing is so interesting is that it’s never static for long. Once you think you have it figured out, something changes in the mix. Pre-Annual Election Period (AEP) marketing is one of those phenomena that changes the mix in AEP marketing. If a pre-AEP marketing strategy is not in your marketing plan this year, here are three reasons why you may want to reconsider: Read more

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Go-to-Market Strategy: Bringing It All Together

Nilsa Lennig

Go-to-market strategy is truly fantastic as it is literally aligning the entire organization to drive profitable growth supported by a governance structure that helps more effectively manage.

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Final Benefit Submission Is Done. Top 5 Items To Focus on Now!

Diane Hollie

Benefits were submitted on June 5, 2017. Too many times we see health plans wait until the last minute to complete important information. This tends to lead to incorrect mailings and advertising getting into the marketplace with costly errata mailings occurring. Gorman Health Group recommends you start with a strong work plan in place to get the following documents completed, starting now:

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Contracting Agents/Brokers – Advantages and Disadvantages

Carrie Barker-Settles

Are you considering adding agents/brokers to your sales force? Will these agents/brokers be exclusive or non-exclusive? If you are a health plan preparing to expand into a multi-channel sales approach, Gorman Health Group (GHG) recommends considering two types of agent/broker distribution sales channels: 1) Captive Agent/Broker and 2) External Agent/Broker.

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CBO Discredits TrumpCare Talking Points on ACA Repeal Bill

John Gorman

By now I’m sure you’ve seen the Congressional Budget Office (CBO) assessment of TrumpCare/the American Health Care Act (AHCA) and its topline findings: 23 million would lose coverage, it cuts $1.1 TRILLION in coverage assistance to low-income Americans, it would increase premiums for those age 50-64 by more than 850%, all while providing a massive tax cut to the wealthy and various healthcare industries like device manufacturers.

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