2017 MA Final Call Letter: Provider Directory Requirements Update

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 preliminary data collected via the PNA Pilot Program that found severe violations with the Part D and Part C requirements. CMS stated, however, that they […]

Managing the Transition to E-Delivery

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 purchase services and goods from. While many plans want to deliver more consistent and dynamic engagement, at the same time they must balance this initative […]

Meeting Millennial Demands for Meaningful, Multi-Touch Engagement

The healthcare market is in a time of unprecedented change. Competition is increasing, mass marketing approaches no longer suffice and consumers are looking for more from their health plans. Who’s leading this shift? Millennials. What do plans need to understand about reaching this generation? Well, for starters, millennials were raised during the era of the […]

Adopting a Relationship Marketing Approach

With the Affordable Care Act came increased competition and the need for insurers to effectively deliver differentiating value propositions. A once highly commoditized market insurers took a transactional marketing approach is now becoming consumer-driven and necessitating plans adopt a relationship marketing approach if they are to remain competitive. What does that mean?  A re-direction of focus […]

CMS Strengthens Provider Directory Standards

Beginning January 1, 2016, CMS will be strengthening their benchmarks for provider network data. This is due to a year plagued with consumer complaints regarding misleading provider network data in addition to CMS audits that have uncovered massive errors rates in provider directory resources. A series of high-profile health plan lawsuits have further brought attention […]