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Posts Tagged: member communications

PERSPECTIVES: How to Improve Communications with Health Plan Members

October 2nd, 2018 | by Stephen Billias

Materials CreationTags: , , No Comments »

Imagine a Medicare Advantage member thumbing through the Evidence of Coverage (EOC) document from his insurance company, struggling to find the information he’s looking for in this 200-page document. Now imagine this member works on building EOCs and other communications for health plans every day, and he still can’t find what he’s looking for.

That MA member/insurance document expert is me.

If someone who looks at these materials day in and day out can’t find the information that’s relevant to him, what hope does the average American have?

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Posts Tagged: member communications

4 ways to reduce – or eliminate – errors in your ANOCs and EOCs

September 20th, 2018 | by Stephen Billias

Compliance, Materials CreationTags: , , , , , , , , , , No Comments »

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: member communications

Surviving the 2015 AEP Materials Creation Process – Part 2 of 2

July 28th, 2014 | by Deb Mabari

ComplianceTags: , , , , , , , , No Comments »

Medicare plans are mid-way through the process of creating Annual Election Period (AEP) materials – namely, Annual Notification of Change (ANOC) and Evidence of Coverage (EOC) documents – that are due to members by the end of September.

At this stage of the game, tension is running high. By now, many health plans have likely discovered the way they were planning on creating the documents won’t work, have encountered issues with vendors, or any other number of challenges that put tasks and timelines into a tailspin.

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Posts Tagged: member communications

How Medicaid Plans can Prepare Compliance Efforts for Increased CMS Oversight

April 15th, 2014 | by Tonya Teschendorf

ComplianceTags: , , , , , , , No Comments »

The writing is on the wall. There are well-documented issues of a lack of uniformity and accountability surrounding state Medicaid programs. Understanding CMS’s history of recognizing problems and acting to find solutions, it stands to reason the agency will, in the future, establish compliance programs for state Medicaid plans that mirror those of Medicare.

When CMS establishes greater control and oversight of Medicaid at the state level, government-sponsored health plans will have a new set of issues to work through in order to comply with the new regulatory guidance. The good news is these new regulations will most certainly mirror those already in effect for Medicare. Therefore, mirroring best practices in Medicare compliance today will better position health plans in the future.

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Posts Tagged: member communications

The Millions of Dollars in Savings You’re Not Seeing – PART 2 of 2

April 4th, 2014 | by Deb Mabari

Print & FulfillmentTags: , , , , , , , , , , , , No Comments »

The “cost to do business” doesn’t have to be so expensive for government-sponsored health plans. Most payers are overspending on their annual print and fulfillment budget for member communications by 10-15 percent. For plans with 250,000 members, for example, cutting a 15 percent overspend factors to saving $1.2 million a year.

There are a number of ways health plans can cut unnecessary expenses, both before hiring a print and fulfillment vendor and during the course of the relationship. The key is knowing where to look.

This blog entry, Part 2 of 2, shares what you can do while you’re working with a print and fulfillment vendor:
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Posts Tagged: member communications

The Millions of Dollars in Savings You’re Not Seeing – PART 1 of 2

April 1st, 2014 | by Deb Mabari

Print & FulfillmentTags: , , , , , , , , , No Comments »

The “cost to do business” doesn’t have to be so expensive for government-sponsored health plans. Most payers are overspending on their annual print and fulfillment budget for member communications by 10-15 percent. For plans with 250,000 members, for example, cutting a 15 percent overspend factors to saving $1.2 million a year.

There are a number of ways health plans can cut unnecessary expenses, both before hiring a print and fulfillment vendor and during the course of the relationship. The key is knowing where to look.

This blog entry, Part 1 of 2, shares what you can do before you contract a print and fulfillment vendor:

Read more »