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.
“A good intention with a bad approach often leads to a poor result,” says Thomas Edison. We agree, and this video of a baby elephant not being willing to leave the side of its mud-stuck mother is a great example. Not only does the baby elephant keep getting stuck itself, it also gets in the way of the workers who are trying to free its mother. The lesson: sometimes we can all use a little help.
As quick as one year passes and an open enrollment period closes, the next is upon us. To ensure customer expectations are met and compliance changes incorporated, here are five questions health carriers should ask as they future plan.
Carl Blanchette is a respected Independent Verification & Validation leader. After 30 years contributing to programs, primarily in health and human services, with a specialization in child support systems, he has learned many IVV lessons. Here are his top five.
One in five American adults are caregivers. More than a quarter of them struggle with coordination and just under a quarter of them (23 percent) say being in the service of others is bad for their health. New technology platforms make caregiver support easier by helping people do more with less.
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.
New healthcare business solutions practice will help health plans, administrators, hospitals and providers improve customer experience and program performance through system and process optimization.
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