Garnet River

About Michael Conlin

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So far Michael Conlin has created 56 blog entries.
  • Photo of mentoring checklist that supports casting off the tyranny of should

Mentoring and casting off the tyranny of the should

2024-01-18T15:34:58-05:00

Garnet River President and CEO Steve Richards has a passion for mentoring, usually on the topics of career and work path. Here he shares some lessons learned, tools that provide guidance along the journey, and why it takes courage for people to pursue work spent in "flow" and a career with meaning.

Mentoring and casting off the tyranny of the should2024-01-18T15:34:58-05:00
  • Photo of computer showing logo of CMS program audit

Are you CMS program audit ready for 2024

2024-01-16T13:42:37-05:00

Annually, open enrollment activities are a true performance test of your company’s systems and processes. Challenges faced during open enrollment can lead to significant compliance risks for your organization as it enters the CMS 2024 Program Audit time of year.

Are you CMS program audit ready for 20242024-01-16T13:42:37-05:00
  • Photo of computer showing logo of CMS program audit

CMS releases updated Plan Communications User Guide (PCUG)

2023-12-21T12:42:04-05:00

On November 30th, 2023, CMS released the updated Plan Communications User Guide (PCUG) 17.4v for Medicare Advantage and Prescription Drug Plans. Changes are minimal, but the release is always a good time for you to revisit what you're doing. Here's what you need to know and what you should be thinking about.

CMS releases updated Plan Communications User Guide (PCUG)2023-12-21T12:42:04-05:00
  • Photo of teen struggling with mental health and screenshots of BeHerd app

BeHerd promotes teen connectivity and improved mental health

2023-11-20T14:35:16-05:00

Garnet River's product team is proud to announce the launch of our newest app, BeHerd—a teen-focused, teen-empowering app that makes it easier to connect, share, and listen. BeHerd is not intended to be disruptive but rather to be an added resource that reimagines how kids can seek and get support.

BeHerd promotes teen connectivity and improved mental health2023-11-20T14:35:16-05:00
  • Photo of family at doctor, showing importance of states maintaining compliance with Medicaid and CHIP eligibility

Medicaid and CHIP eligibility

2023-10-11T09:49:13-04:00

On August 30, the Centers for Medicare & Medicaid Services (CMS) sent a letter to all 50 states, requiring a review of their eligibility systems. The impetus for this letter: CMS determined some states’ Medicaid and CHIP eligibility systems are incorrectly configured to automatically renew people at the family level and not the individual level. Read here how this requirement and recommendations affect health plan partners.

Medicaid and CHIP eligibility2023-10-11T09:49:13-04:00
  • Photo showing a clipboard with Medicare Enrollment for Part A, Part B, Part C, and Part D

Part C & Part D Enrollment and Eligibility Guidance

2023-09-14T11:31:34-04:00

On August 15, 2023, CMS released the updated guidance for Part C and Part D enrollment and eligibility. Included with the policy and technical changes was a new MA model enrollment request form. Read about the notable updates here, as well as access links to enrollment/disenrollment instructions and forms.

Part C & Part D Enrollment and Eligibility Guidance2023-09-14T11:31:34-04:00
  • Photo of empty computer control room, showing impact of RPA before AI

RPA before AI

2023-08-02T15:40:32-04:00

In this era of digital transformation, organizations across industries are constantly seeking ways to optimize their processes, enhance productivity, and streamline operations. RPA emerges as a game-changer, providing a solid foundation for process automation and paving the way for future advancements. That’s right: RPA before AI.

RPA before AI2023-08-02T15:40:32-04:00
  • Abstract image of brain and computer imaging, questioning...is AI really revolutionary

Is AI really revolutionary?

2023-07-23T13:48:02-04:00

AI is dominating headlines and causing controversy, but is AI really revolutionary? Perhaps the answer lies in looking at the landmark revolutionary moments that have preceded it—the printing press, the steam engine, and the microprocessor, among others—and determining what, if anything, AI has revolutionized. It may be more than you think.

Is AI really revolutionary?2023-07-23T13:48:02-04:00
  • Photo of Medicare Advantage Annual Election Period enrollment form.

Annual Election Period Must-Dos for Medicare Advantage Plans

2023-07-31T16:07:31-04:00

Annually, open enrollment activities are a true performance test of your company’s systems and processes. Challenges faced during open enrollment can lead to significant compliance risks for your organization as it enters the CMS 2023 Program Audit time of year.

Annual Election Period Must-Dos for Medicare Advantage Plans2023-07-31T16:07:31-04:00
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