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Medicare Advantage Plans Struggle to Comply With New Federal Law
Date:8/20/2008

The recently enacted Medicare Improvement Law immediately affects the

operations of more than 500 Medicare Advantage insurance companies

nationwide

PORTLAND, Ore., Aug. 20 /PRNewswire/ -- When the House and Senate overrode President Bush's veto of HR 6331, creating new legislation protecting Medicare beneficiaries, they also established stricter requirements for Medicare Advantage plans during one of the busiest months of the year for that industry. Possibly the most significant change in the new law is specific prohibitions and limitations on certain sales and marketing activities for Medicare Advantage plans and prescription drug plans. And with August 30 being the deadline for these plans to file all of their operational riders, plans and notifications with The Centers for Medicare and Medicaid Services (CMS), as well as the states within the plan's service area, many will grapple with submitting their materials on time. Yet there is a faster, CMS compliant solution for these struggling plans.

MedicareCRM(R) specializes in management solutions for the health care industry through its proprietary technology designed specifically for Medicare Advantage plans. With user-friendly, Web-based modules, MedicareCRM(R) is able to cost-effectively train and certify that the plan's Marketing and Enrollment operations are CMS compliant; ensure brokers and sales agents are operating according to CMS regulations; ensure all sales contact points are CMS compliant; enable monitoring of marketing campaigns for CMS compliance; monitor every member touch point from lead acquisition through automated transactions with CMS; deliver CMS compliance alerts; and provide an executive dashboard for year-round monitoring of systems, including the new law's requirement for reporting systems and incentive payments.

Federal law requires Medicare Advantage Plans to limit their sales activities to a 4.5-month window of opportunity. And while the new 2009 law gives plans until 2011 to achieve full implementation of HR 6331, CMS has promised the 2.3 million Medicare Advantage beneficiaries (source: CMS 2005 data) immediate increased scrutiny and protection from illicit sales and marketing activities by non-compliant Medicare Advantage plans.

MedicareCRM founders Ron Ortiz and Patrick Phillips have developed a solution to the Medicare Advantage plans' internal struggle for both compliance and the bottom-line. The modules are part of MedicareCRM's mission to provide comprehensive health plan management solutions that improve the public/private partnership of the current Medicare system, so that a new standard of service, excellence and ROI is achieved for both Medicare beneficiaries and Medicare Advantage plans.

MedicareCRM is a division of Premier Market Connections, a privately held, bicoastal company with offices in Pittsburgh, Penn., and Portland, Ore. The company's Medicare Advantage clients rank in the top 10 Medicare plans in the United States. For more information, please visit MedicareCRM.com.

Media Contacts: Woloshin Communications, Taraneh Foster, 503.241.3834 / 503.332.6309 (all hours) tara@woloshin.com or Mara Woloshin, 503.241.3834 / 503.310.4504 (all hours) mara@woloshin.com.


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SOURCE MedicareCRM
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