Health Plans

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

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

Accessibility in healthcare: how providers can pivot for Section 508 compliance

Social awareness, diversity, and equality are all common topics, and all have a common thread — accessibility. 

Toppan Merrill

March 1, 2022

The revised MCMG: what’s happening for 2024?

Medicare Communications and Marketing Guidelines (MCMG), the Medicare Advantage and Part D health plan industry will be sifting through rubble...

Summer Beach – Associate Director, Medicare Compliance Solutions

February 18, 2022

The return of the Multi-Language Insert (MLI): where did it ever go?

CMS instituted a requirement in 2012 for Medicare Advantage Organizations (MAOs) and Part D Plans to communicate the availability of...

Summer Beach – Associate Director, Medicare Compliance Solutions

February 16, 2022

What can a dynamic health insurance welcome kit do for you? (part 2)

It's easy to get caught up in the words when you're creating a new health plan member welcome kit, but...

Toppan Merrill

December 7, 2021

The value of new member welcome kits for health plans (part 1)

Welcome kit materials should be driven by the member’s perspective from concept to final product. For government-sponsored plans specific standardized...

Toppan Merrill

November 13, 2021