Health Plans

Debunking the Classic Myths Surrounding CMS Star Ratings

Over the last year, we have seen unprecedented change in the Public Company Accounting Oversight Board (PCAOB) and its standards-setting...

Summer Beach – Associate Director, Medicare Compliance Solutions

May 10, 2023

How CMS’ File and Use can assist Medicare Advantage Organizations

“Keep ‘em honest” often refers to important business activity checks and balances. An area in the Medicare Advantage (MA) industry...

Summer Beach – Associate Director, Medicare Compliance Solutions

April 19, 2023

Medicare acronym soup 101

Health plans can easily over-use acronyms in their communications, causing confusion for their enrollees. 

Summer Beach – Associate Director, Medicare Compliance Solutions

February 14, 2023

Direct mail comes roaring back: 3 keys for healthcare insurers to drive engagement and growth

Amid all of the buzz around the tremendous digitization that’s taken place over the last two years in the healthcare...

Mike Zimny

January 11, 2023

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

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