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Challenge: Forecasting Enrollment in Advance of the Medicare AEP

October 29, 2020   It is that time of year again when health insurers, who offer and sell Medicare Advantage plans and supplements, ramp up operations and sales activities...

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OIG Report: HRA Use to Support Risk-Adjusted Payments is Concerning

October 27, 2020 Expanded Oversight of MAOs by CMS Recommended The Centers for Medicare & Medicaid Services (CMS) risk-adjusts payments to Medicare Advantage Organizations...

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Is Your Agent Onboarding Process AEP-Ready?

October 19, 2020 Agents are an extension of your health plan and contribute to your organization’s growth; it is critical to be able to effectively onboard them, and...

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Are You Managing Your Compliance Program Effectively?

October 12, 2020 Taking the time to develop a robust compliance program for your health plan is a given necessity if you wish to operate ethically and with integrity. In...

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Commercial to MA: Supporting Members Through the Health Insurance Lifecycle

August 24, 2020 As more Americans age into Medicare, health plans that support the commercial and employer group insurance markets are consistently working to transition...

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Convey Wins 2020 MedTech Breakthrough Award for Innovative Health Plan Management Platform

August 18, 2020 FORT LAUDERDALE, FL (BUSINESS WIRE) – August 18, 2020 – Convey Health Solutions (Convey), a leading healthcare technology and services company, announced...

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Choosing & Optimizing Your Medicare Advantage Plan’s FDR Partners

August 14, 2020 Medicare Advantage Organizations (MAOs) that align themselves with trusted First Tier, Downstream, or Related (FDR) Entities augment essential expertise,...

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Digital Tools: Low-Income & Senior Population

August 10, 2020 It is interesting how there are so many digital solutions (and vendors) being offered that are designed to help the senior or low-income population, but...

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Addressing OTC Utilization Behaviors of MA Beneficiaries during Global Crisis

July 22, 2020   Soon after the World Health Organization declared COVID-19 a global pandemic, Americans became aware that a “new normal” was about to supplant their...

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