The state of ESEF – Part 2: What is next for ESEF? In this second blog of a three-part ESEF series, Danny Northey, Bartek Czajka and Martin Lorentsson share their thoughts on... Toppan Merrill November 9, 2023 Corporate Compliance
Drawing within the lines during Medicare Advantage sales presentations Prevent marketing complaints by helping your sales force understand which materials are required during sales discussions. Summer Beach – Associate Director, Medicare Compliance Solutions October 18, 2023
Medicare Advantage Special Enrollment Periods. Ready to assist enrollees with plan choices? When unique circumstances hit your membership, they can miss their chance to enroll entirely, or to change plans. Look here... Summer Beach – Associate Director, Medicare Compliance Solutions September 14, 2023
Crossing the finish line: Final review for your 2024 ANOCs and EOCs Toppan Merrill understands complex, and simple edits are important to your CMS-required ANOC and EOC benefits documents. Summer Beach – Associate Director, Medicare Compliance Solutions August 7, 2023
CMS Changes the Definition of Marketing We’ve heard the saying, “history repeats itself.” This rings true with yet another Centers for Medicare & Medicaid Services (CMS)... Summer Beach – Associate Director, Medicare Compliance Solutions May 30, 2023
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
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
The New Inflation Reduction Act will have an impact on drug benefits for health plans. Learn how to prepare for It. 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 2023 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