The new healthcare landscape, set forth by the Affordable Care Act and creation of the Marketplace Exchange, has brought new customers with unique purchase drivers and high digital expectations to […]
As part of their Distribution and Agency Management Survey, Accenture polled more than 400 senior executives at large and medium-sized insurance carriers in 20 countries from July to October of […]
CMS’s 2017 Annual Notice of Change/Evidence of Coverage (ANOC/EOC) standardized model materials include an instructional PDF to be used as an implementation guide to managing necessary document alterations, HPMS submissions […]
A few months ago, we came across research done by Demand Metric in conjunction with Seismic, concerning the reasons that companies do not do more personalization of content in their […]
Member communications are evolving. The traditional default of black & white printing of member materials is increasingly migrating to full color. Mass print production business models are swiftly shifting to […]
Millennials, age 21-32, are the new consumer group driving the shift towards patient-centered care. In order to meet their demands for a more personal healthcare experience, health insurers must first […]
Finalized on November 22, 2015 after 18 months of discussion, the National Association of Insurance Commissioners (NAIC) approved an updated version of its Managed Care Plan Network Adequacy Model Act. […]
Pre-2016 Medicare Advantage network adequacy guidance simply states that plans must maintain a network of providers “sufficient to provide adequate access to covered services to meet the needs of the […]
The 2017 Final Call Letter to Medicare Advantage Organizations (MAOs) continued to emphasize the importance of provider directory accuracy and the increased monitoring and enforcement actions to commence due to […]
Consumers are demanding more frequent, personalized, meaningful communications from their health insurance providers, similar to the variety of touches they are accustom to receiving from retailers and other companies they […]