Health Plans

5 CMS-required documents health plan marketers must know

Navigating the modern requirements and insurance documents of Medicare insurance can be a complex and a demanding task for many...

Summer Beach – Associate Director, Medicare Compliance Solutions

December 12, 2022

How customers shop for health plans through digital marketing

The growing popularity of mobile apps and digital platforms is challenging many Medicare Advantage (MA) plans to rethink their digital...

Summer Beach – Associate Director, Medicare Compliance Solutions

November 28, 2022

The Inflation Reduction Act’s impact on drug benefits for health plans 

The Inflation Reduction Act of 2022 (IRA) made substantial changes to federal healthcare provisions and will help reduce the cost...

Summer Beach – Associate Director, Medicare Compliance Solutions

November 14, 2022

Why is the CMS Readiness Checklist important? What value does it bring to health plans?

The infamous CMS Readiness Checklist was created by the Centers for Medicare & Medicaid Services (CMS) as a tool for...

Summer Beach – Associate Director, Medicare Compliance Solutions

November 9, 2022

Social Determinants of Health and the impact on Supplemental Benefits (part 3 of 3)

Supplemental benefits are one of the ways that public and private entities are working to positively impact Social Determinants of...

Summer Beach – Associate Director, Medicare Compliance Solutions

September 28, 2022

Social Determinants of Health and the impact on Supplemental Benefits (part 2 of 3)

Supplemental benefits have a critical impact on Social Determinants of Health (SDOH). These offerings have gained popularity through Medicare Advantage...

Summer Beach – Associate Director, Medicare Compliance Solutions

September 13, 2022

Social Determinants of Health and the impact on Supplemental Benefits (part 1 of 3)

Healthcare and health insurance plans are evolving to recognize previously overlooked factors that contribute to different health outcomes. As health...

Summer Beach – Associate Director, Medicare Compliance Solutions

August 30, 2022

Medicare, Medicare Advantage and CMS. A timeline from 1901 to today

In social settings, when someone asks, “What is Medicare?” or “What is CMS?” the common adage used to be, “Oh,...

Summer Beach – Associate Director, Medicare Compliance Solutions

May 4, 2022

Oh, my CMS stars! Yes, sales and marketing can impact Star Ratings

If you are an insurer who operates as a Medicare Advantage Organization (MAO), you’re well-aware how a plan’s 5-Star Rating...

Summer Beach – Associate Director, Medicare Compliance Solutions

April 14, 2022

Back to the future: CMS sales and marketing guidelines

With the ever-changing landscape of Center for Medicare and Medicaid Services (CMS) guidelines, let’s take a look at the recent...

Summer Beach – Associate Director, Medicare Compliance Solutions

March 15, 2022