Navigation Links
Medicare Advantage Plans Struggle to Comply With New Federal Law

The recently enacted Medicare Improvement Law immediately affects the

operations of more than 500 Medicare Advantage insurance companies


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

Media Contacts: Woloshin Communications, Taraneh Foster, 503.241.3834 / 503.332.6309 (all hours) or Mara Woloshin, 503.241.3834 / 503.310.4504 (all hours)

Copyright©2008 PR Newswire.
All rights reserved

Related medicine news :

1. GAO Report Confirms: Medicare Underpays for Anesthesia Services; Nurse Anesthetists Assure Seniors Access to Safe Anesthesia Care
2. Texas Supreme Court Rules Against Medicare HMOs in Hospital Reimbursement Fight
3. Owner and Operator of Florida Durable Medical Equipment Company Convicted of Medicare Fraud
4. Just Completed Studies Reveal Impact of New Medicare Reimbursement Regulations
5. AHCA: Rescinding $2.7 Billion Medicare Cuts Top Issue for Fall Legislative Agenda
6. University of Texas Study Details Lengthy Payment Delays for Medicare Part D Prescription Drug Claims, Confirming Need for Legislative Fix
7. Medicare Spending Caps Cause Seniors to Stop Meds
8. Medicare Prescription Drug Benefit, Nonprofit Hospitals, Ambulatory Surgery Centers, Statistical Methods, and Pay-For-Performance Highlighted In the Latest INQUIRY Journal
9. Medicare Every Diabetic Counts Project Gears Up for Kick-Off
10. Medicare Cuts to Physicians Will Harm Washington Seniors
11. More than 10,000 Medicare Patients in Montana Could Be Hit by Proposed Cuts to Home Oxygen Therapy; Access to Power Wheelchairs Would Also Decrease
Post Your Comments:
(Date:11/26/2015)... ON (PRWEB) , ... November 26, 2015 , ... ... of a real-time eReferral system for diagnostic imaging in the Waterloo region. Using ... BMD and Nuclear Medicine tests directly from their electronic medical record (EMR) without ...
(Date:11/26/2015)... ... November 26, 2015 , ... WorldCare International, Inc., ... the 61st annual Employee Benefits Conference. The Employee Benefits Conference was hosted by ... through Wednesday, November 11th, 2015. The conference was held at the Hawaii Convention ...
(Date:11/25/2015)... ... 25, 2015 , ... As part of a global movement ... volunteers together who want to combine talents and resources to help create sustainable ... process. The non-profit launched its first major fundraiser on November 6, 2015 at ...
(Date:11/25/2015)... ... November 25, 2015 , ... Dr. John Pierce, Medical ... more about hair loss treatment with the Capillus272™ Pro laser therapy cap. FDA cleared ... thicker and fuller hair, without the need for surgery, prescription pills, or topical foams. ...
(Date:11/25/2015)... ... 25, 2015 , ... Lakeview Health, a Jacksonville-based drug and ... sobriety and show through pictures what a positive difference it makes. The social ... the hashtag #FacesOfGratitude on their Facebook, Twitter, and Instagram accounts. Short stories ...
Breaking Medicine News(10 mins):
(Date:11/25/2015)... -- The American Academy of Pediatrics (AAP), American Congress ... of Dimes cheered today,s signature into law of ... 2015 (S.799), which takes much-needed strides to ... drugs, such as opioids, and to improve their ... have worked together leading advocacy efforts for its ...
(Date:11/25/2015)... Nov. 25, 2015  Henry Schein, Inc., the world,s ... office-based dental, medical and animal health practitioners, will unveil ... Henry Schein ConnectDental® Pavilion , which brings together ... open solutions designed to help any practice or laboratory ... for a schedule of experts appearing at the ...
(Date:11/25/2015)... 25, 2015 Allergan plc (NYSE: ... Rugen Therapeutics, a start-up  biotechnology company focused on ... disorders and funded by the F-Prime Biomedical Research ... into an exclusive collaboration to support the discovery ... Disorders (ASD) and Obsessive Compulsive disorders (OCD). ...
Breaking Medicine Technology: