Headquartered in Pittsburgh, software firm specializes in Medicare health
plan enrollment and compliance
PITTSBURGH, Jan. 10 /PRNewswire/ -- Premier Market Connections, a company specializing in technology for the health care industry, has developed a solution that benefits seniors and dramatically simplifies Medicare Advantage plans' struggle for compliance, operational efficiency, and offers other solutions to boost the bottom-line for health plans. MedicareCRM will be presenting at the Medicare Advantage Congress, Scottsdale, AZ on January 23, 2008.
MedicareCRM(TM) is the first solution specifically designed for Medicare Advantage plans of all sizes. It is a web-based, user-friendly system developed by Ronald Ortiz, a managed care senior executive, and Patrick Phillips, a software engineer with specialized knowledge in healthcare informatics. Their 30 years of combined experience in the managed care industry, coupled with the industry's shake-up following the 2003 Medicare Modernization Act, led to the development of MedicareCRM(TM). This modular web-based platform is a proven cost effective tool for health plans that also supports the education of and the ability to audit sales professionals. A key benefit of MedicareCRM(TM) is ensuring compliance of CMS marketing guidelines, a guarantee that Medicare consumers may clearly understand the differences between plan benefits and choices.
In October 2007, the Centers for Medicare and Medicaid Services (CMS),
began releasing information on deficiencies found in Medicare Advantage
(MA) and Prescription Drug Plans (PDP) audits. Capitalizing on the fallout,
members of Congress seized upon the findings as a further cause for more
accountability and oversight of the MA program. Now, in the midst of the
federally-mandated November 15 to April 2008 four and one-half month
enrollment period, health plans grapple with the challenge of generating
the maximum number of enrollment
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