Accelerate Medicare Advantage Enrollment Growth

Leverage eMedicareSync™ to enable a connected benefits journey for the Medicare market.

Peace of Mind With

CMS PBP Bid Submissions

One-Stop Solution for all Products

Manage single source of truth platform to improve data accuracy and reusability across all products.

Automate Bid Submissions

Future proof managing 13,000+ fields of CMS bid package with robust versioning and validation capabilities.

Robust Collaboration

Enable cross functional teams and business processes by activating out-of-the-box workflow engine across unlimited users.

CASE STUDY

Discover how a Large Payer became the first to publish plans on the MA marketplace using eMedicareSync™

Get The Full Customer Story
CASE STUDY

Discover a Large Payer’s Digital Transformation powered by eMedicareSync™ automation suite for end-to-end PBP management and document generation

Get The Full Customer Story
CASE STUDY

Discover how a Large Payer became the first to publish plans on the MA marketplace using eMedicareSync™

Get The Full Customer Story
CASE STUDY

Discover a Large Payer’s Digital Transformation powered by eMedicareSync™ automation suite for end-to-end PBP management and document generation

Get The Full Customer Story

Peace of Mind With

CMS PBP Bid Submissions

One-Stop Solution for all Products

Manage single source of truth platform to improve data accuracy and reusability across all products.

Automate Bid Submissions

Future proof managing 13,000+ fields of CMS bid package with robust versioning and validation capabilities.

Robust Collaboration

Enable cross functional teams and business processes by activating out-of-the-box workflow engine across unlimited users.

CASE STUDY

Discover how a Large Payer leveraged eMedicareSync™ VAP to timely and cost-effectively create compliant ANOCs, EOCs, and SBs

Get The Full Customer Story

End-to-End Compliance With ANOC, EOC, and SB

Errata-Free Compliance

Achieve 100% compliance with ANOC, EOC, and SB documents leveraging a 508-compliant automation engine.

Competitive Advantage on Your Fingertips

Access to 6,000+ MA Plans

Enable personalized competitive analysis in a few clicks across Star ratings, MA plan benefits, and enrollment population datasets.

Real-Time Reporting and Insights

Take advantage of the full suite of standard and custom reporting and analytics options across the platform.

Actuarial Product Analysis

Automate comparisons with year-over-year actuarial updates to support accurate benefits pricing design.

Competitive Advantage on Your Fingertips

Access to 6,000+ MA Plans

Enable personalized competitive analysis in a few clicks across Star ratings, MA plan benefits, and enrollment population datasets.

Real-Time Reporting and Insights

Take advantage of the full suite of standard and custom reporting and analytics options across the platform.

Actuarial Product Analysis

Automate comparisons with year-over-year actuarial updates to support accurate benefits pricing design.

Integrate Benefits across Your Ecosystem

Automate Integrations with Claims

Keep your claims system always in sync with benefits information connected out-of-the-box.

Accelerated Sales Cycle

Digitize sales experience for EGWP plans by fully integrating benefit information with your CRM (Salesforce, MS Dynamics, etc.) ecosystem.

Seamless API Integrations

Take advantage of hundreds of out-of-the-box API end points to integrate with other areas of your architecture ecosystem.

Listen to Our Customers

Frequently Asked Questions (FAQs)

Here are the answers to the most frequently asked questions about implementing end-to-end Medicare Advantage benefit plan management solution and partnering with Simplify Healthcare.

What is Medicare Advantage plan management?

Most Medicare plans run their product configuration process from spreadsheets, but that burdens the users with duplicate data entries into the CMS PBP system, increasing the risk of errors and last-minute fire drills that require manual data manipulation. Medicare Advantage plan management is the process of managing end-to-end Medicare advantage product/plan configuration, enabling Health Plans to automate their PBP processes, streamline operations, and auto-generate documents while complying with all State/Federal policies, rules, and regulations.

What is CMS PBP integration and Medicare product configuration?

Plan Benefit Package (PBP) is a well-defined system enabling Health Plans to submit their Medicare Advantage plans for CMS approval. Our solution, eMedicareSync™, can be easily integrated with CMS to automate PBP submissions and efficiently configure customized Medicare products with just a few clicks.

What are the challenges with traditional Medicare Advantage plan management processes?

Traditional processes often create challenges like maintaining benefits data in Excel grids, inconsistencies between the grids, last-minute CMS changes, manual generation of documents, proofing, and re-proofing with every update. Similarly, loading your plan data into the CMS PBP system can be problematic since it is typically a manual data entry process that is slow, tedious, and error-prone. Finally, keeping up-to-date with CMS changes can be very difficult for Health Plans while ensuring the new requirements are fully understood, and the needed changes are made to the Medicare Advantage plans.

Why use the Medicare Advantage product configuration solution?

eMedicareSync™ is the industry’s first CMS PBP integrated turnkey MA product configuration solution, enabling Health Plans to automate end-to-end Medicare Advantage plan management and document generation processes. It helps improve accuracy, timeliness, and cut efforts/costs by up to 75%. The solution can help eliminate last-minute CMS changes and generate CMS PBP output and documents with the push of a button.

What kind of documents can be generated with a MA plan management solution?

With the MA plan management solution, Health Plans can auto-generate all MA compliant documents like ANOC, EOC, and SB with just a few clicks. The solution enables consistent and accurate document generation for reduced risk of penalties and timely and accurate filings.

How can you automate Medicare product management, PBP loading, and document generation?

Put the innovation at the core of your Medicare Advantage processes with eMedicareSync™, one-of-its-kind game-changing Medicare product management, PBP loading, and document generation solution. It helps automate plan development, ANOC, EOC document generation, auto compare products to ensure effective and efficient audit/QA, create a single source of truth for all Medicare Advantage product information, and comes pre-configured to load PBP to automatically updates CMS rules.

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Webinar – Automate Your CMS PBP Bids for 2024 and Beyond

Join our webinar to learn how Healthcare Payers can automate CMS PBP bid submission and focus on building innovative benefit plan designs for improved health outcomes and better business results using eMedicareSync™.

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