Posts Tagged: EOCHow to Keep Your MA Staff’s Skillset Current in the Slow Season
The work of creating member documents for Medicare Advantage (MA) members is a highly seasonal endeavor. Typically, MA staff begin work on these documents in mid-April. Per Centers for Medicare and Medicaid Services (CMS), the Annual Notice of Change (ANOC) must be in members’ homes by September 30, and Evidence of Coverage (EOC) documents are due by October 15.
After that date, the intensity of the work effort on MA documents is considerably reduced and employees turn to other assignments. During this period, it’s a challenge to keep employees’ skill sets sharp and up-to-date. Read more »
Posts Tagged: EOC4 ways to reduce – or eliminate – errors in your ANOCs and EOCs
The accuracy of Annual Notice of Changes (ANOC) and Evidence of Coverage (EOC) documents is an important requirement for all health plans. The Centers for Medicare and Medicaid Services (CMS) takes errors in these documents very seriously and penalties are given to health plans that distribute documents with errors.
CMS recently announced changes to the distribution of these documents. ANOCs and EOCs have been uncoupled, and electronic sharing of EOCs is now allowed. CMS has also reiterated the importance of distributing these documents on time and in compliance. Read more »
Posts Tagged: EOCAre you Outsourcing your ANOC and EOC Creation to the Best People for the Job?
Preparing materials for the Annual Enrollment Period (AEP) – namely Annual Notice of Changes (ANOC), Evidence of Coverage (EOC), and Summary of Benefits (SB) documents – can be a time-consuming, labor-intensive process wrought with compliance risk. As a result, many health plans opt to outsource the creation of these documents to a third-party vendor.
There are several benefits to outsourcing the creation of ANOC, EOC and SB documents. But not all vendors are created equally. Below are three things to look for when hiring a third-party vendor to create your ANOC and EOC documents. Read more »
Posts Tagged: EOCStart Now for an Easier ANOCs and EOCs Creation Season Next Year
Every year, the people who produce marketing materials for their Medicare members are extremely busy from April through September. Deadlines are tight and timelines are aggressive for creating, printing and mailing the Annual Notice of Changes (ANOCs), Evidence of Coverage (EOCs) and Summary of Benefits (SBs) documents. Very few people in these roles take vacation over the summer because they are rushing to get materials in their members’ hands by September 30.
Even though this is typical for most health plans, it doesn’t have to be case. By spreading production of these materials over the calendar year, health plans can avoid the bottlenecks and summertime peaks that increase the risk of compliance errors and missed deadlines, not to mention run teams ragged. Read more »
Posts Tagged: EOCDocument Accuracy Assessment helps identify errors before CMS
The creation of your Annual Notice of Changes (ANOC) and Evidence of Coverage (EOC) document is a very challenging process and can be a strain on already over-taxed resources. Ensuring the accuracy of these documents is extremely important, as CMS has taken an increasingly tough stance on plans that distribute documents with unclear and/or inaccurate benefit information.
If you’re like most health plans, you could use a few extra set of eyes to review your final materials to ensure accuracy.
Backed by our team of model document experts, our Document Accuracy Assessment services can identify inconsistencies and errors in your plan documents that could negatively impact members and cause CMS to take action against your plan. Cody’s Document Accuracy Assessment service allows you time to self-report these errors before CMS’ Oct. 31 deadline for self-reporting. Read more »
Posts Tagged: EOCHow Accurate ANOCs and EOCs can Help Health Plans Retain Members
The Henry J. Kaiser Family Foundation recently published an Issue Brief on its website titled “Medicare Advantage Plan Switching: Exception or Norm?” The brief shared that 11 percent of Medicare Advantage plan enrollees in 2013 voluntarily switched to another plan in 2014. It also addressed various factors that impacted switches to other plans, such as the members’ age, rate increases and coverage changes.
In addition, research showed Medicare Advantage enrollees who voluntarily switched plans were disproportionately in plans with lower quality ratings. Between 2013 and 2014, 14 percent of enrollees in plans with 2 or 2.5 star quality ratings switched plans, while only 3 percent of enrollees in 5 star plans switched. The article states, “These findings suggest that factors related to the star ratings may cause some beneficiaries to switch plans.”
Posts Tagged: EOC3 Things to Consider when Establishing a Contingency Plan for ANOCs and EOCs
With health plans now focused on finalizing their Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) documents, the pressure is on to get materials in members’ hands by the Centers for Medicare and Medicaid Services’ (CMS) September 30 deadline.
Finalizing these documents and getting them in the mail comes with a number of challenges, and any kink in the process can create a domino effect that could delay delivery timelines. The last domino in this chain is the print and fulfillment component.
Posts Tagged: EOCTop Reasons to Use the 2017 Model Documents to Create AEP Materials
The Centers for Medicare & Medicaid Services (CMS) recently released its model documents for the 2017 Annual Enrollment Period (AEP). The rigorous, highly complex rules and regulations for member marketing materials – specifically, Annual Notice of Change (ANOCs) and Evidence of Coverage (EOCs) documents – provide significant challenges for health plans year after year.
Some health plans may be tempted to create their 2017 AEP materials by making updates to their 2016 templates to avoid having to build the materials from scratch. However, this can be a risky method. Here’s why: Read more »
Posts Tagged: EOC4 Challenges to the Print and Fulfillment of AEP Mailings
For Medicare plans, preparing and distributing Annual Enrollment Period (AEP) materials – such as the Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) – can be a time-consuming and challenging process.
These challenges extend far beyond ensuring that information is accurate and compliant and that materials are distributed on time. In fact, printing and mailing these documents can be a challenge in and of itself.
Posts Tagged: EOCAre You Prepared to Comply with the Summary of Benefits Guidance Released by CMS?
On April 15, the Centers for Medicare and Medicaid Services (CMS) released the Summary of Benefit (SB) Guidance for Contract Year 2017. Based on these requirements, health plans can now more easily utilize a template to create SB versions. This is great news for health plans, because they will no longer be required to use the archaic Plan Benefit Package (PBP) software to create SBs. Read more »