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Implement a Valuable Medicare OTC Card Program

February 17, 2021 Offer “White Glove” Service with an OTC Benefit Card The supplemental benefits landscape is booming, with OTC benefits as its mainstay. As health plans...

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Group vs. Individual Medicare Advantage: What is the Difference?

February 15, 2021 Understanding the difference between group vs. individual Medicare Advantage (MA) is critical to the decision-making process regarding the types of plans...

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OTC Benefits Target Chronic Heart Disease to Enhance Outcomes, Reduce Costs

January 25, 2021 The 2019 CMS guideline changes provided health plans with a new opportunity to enhance over-the counter (OTC) benefits, particularly for beneficiaries...

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Aligning Supplemental Benefits to the Needs of Diabetic Beneficiaries

January 19, 2021 Today, more than half of all Medicare Advantage (MA) beneficiaries have access to over-the-counter (OTC) health benefits. MA plans have a unique...

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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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