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Lunch and Learn Session

Digital Platform to Automate End-to-End MA Plan Operations, Reduce Costs, and Improve Star Ratings

September 29, 2022 | 13:00–13:45 ET

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Session Overview:

Nearly 50% of Medicare beneficiaries have enrolled in Medicare Advantage plans in 2022.[1] The U.S. Census Bureau projects that more than 73 million Americans will enroll in Medicare Advantage plans by 2030.[2] Not only have enrollments increased, but expectations for member satisfaction are high, with the CMS putting an even greater emphasis on member experience-related metrics for evaluating 2023 Medicare Star ratings.[3] In addition, members are increasingly demanding an array of benefits that fit their needs.

By fast-tracking innovation in benefit design, Payers can meet the unique needs of the Medicare market, improve health outcomes, and increase Star ratings. Payers can streamline operations with Benefits1™ Digital Payer Platform to lower costs by ~75% and drive benefit products to market up to 70% faster.

Join our virtual Lunch and Learn session to discover how Payers can drive innovation in benefits design, automate CMS PBP bids, auto-generate ANOCs, EOCs, and SBs, and manage benefit inquiries using Benefits1™.


Key Takeaways:

  • Manage a single source of truth platform to improve data accuracy and reusability across all products
  • Achieve 100% compliance with ANOC, EOC, and SB documents by leveraging a 508-compliant automation engine
  • Future proof managing 13,000+ fields of CMS bid package with robust versioning and validation capabilities
  • Get competitive advantage at your fingertips with access to 6,000+ MA plans and enabling real-time reporting and insights
  • Automate integrations with claims and other systems
  • Accelerate sales cycle and digitize sales experience

Source:

  1. https://www.kff.org/medicare/issue-brief/medicare-advantage-in-2022-enrollment-update-and-key-trends/
  2. Demographic Turning Points for the United States: Population Projections for 2020 to 2060
  3. Advance Notice of Methodological Changes for Calendar Year (CY) 2023 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies

Speakers

Rose Gawrych

Senior Client Delivery Manager

Rose Gawrych is associated with Simplify Healthcare as a Senior Client Delivery Manager for eMedicareSync™. She manages implementations and production support for clients, with a focus on client success, experience, and growth.
Kaustubh Borole - B&W Photo in circle
Kaustubh Borole

Manager, Product Solutions

Kaustubh is associated as Product Solutions Lead with Simplify Healthcare and brings innovation and analytical approach with problem solving skills to the table. He manages eMedicareSync™ solution - product backlog, end-to-end implementation for prospects and clients, resolving queries, and sharing product updates.