Over the last decade, enrollment in Medicare Advantage has more than doubled. For health plans and the healthcare BPOs that often support them, this represents tremendous opportunity—provided they can navigate the demanding regulations. With the Annual Election Period (AEP) rapidly approaching (running October 15 to December 7th), here are six items Medicare Advantage Plans and BPOs must ensure are complete within the CMS regulatory timeframes.
By focusing on a process small in scope and involving only one department, a Proof of Concept (PoC) process allows for the implementation of RPA with minimal effort and limited cost. It is a great way to prove to your organization and leaders that RPA is both attainable and offers real business value.
Most organizations have a lot of ideas for automation candidates, but many never ask this basic question: what is the real business value of automating the process? Process assessment identifies RPA opportunities that are easy and quick to implement…while offering tangible savings and benefits.
The typical flow of the patient revenue cycle can be divided into three sections: Patient Access, Care to Claim, and Claim to Payment. In each of these sections, Robotic Process Automation (RPA) can add value by executing repeatable process traditionally carried out by a human worker. The result: improved efficiency, greater accuracy, reduced cost, and higher employee satisfaction.
“Over the course of his career, Michael has exhibited great leadership and has an impressive track record of helping clients grow their brands and get results,” said Steve Richards, CEO, Garnet River. “His diverse skillset and experience across a range of industries makes him a great addition to our team at a time when we’re poised for tremendous growth in our Staffing, Robotic Process Automation and Managed Outsource practices.”
With COVID fatigue settled it, it's easy to feel like that character from the movie network...and cast open the window and shout: "I'm mad as hell, and I'm not going to take this anymore." It would be cathartic, certainly, but there is often strength in "taking it" and persisting with grit. And grit, paired with an open mind, can lead to some really great things.
It’s easy to say the workplace will never be quite the same after Covid-19. The Quarantine experience and the inevitable momentum behind technology’s drive for personalization will lead to more enlightened thinking about how to engage “human resources” for the organization. The smart organization will channel Shakespeare, look in the mirror, and find a way to be true to itself through the innovative use of technology.
The governance pyramid is built bottom-up with policy, standards, process, procedures, and guidelines. To be effective, the structure needs to be organized, consistent, and aligned with to policy and business need.