Medicare Advantage plans can be set up and built successfully in short order. The proof is in the numbers. 99.0% Enrollment Timeliness and 99.4% CMS Transaction Acceptance gave one health plan 100% confidence in managing members after relaunching their Medicare Advantage program. So how did they do it? MHK MarketProminence paved a road of success with simplified Medicare Advantage Member Enrollment, Premium Billing and Financial Reconciliation.
An award-winning not-for-profit health maintenance organization with decades of Medicaid and CHIP experience turned to MHK MarketProminence to relaunch their Medicare Advantage program. The plan had sold their previous Medicare Advantage program years earlier but felt the time was right to enter that market again.
Entry into the Medicare Advantage market seemed daunting without the right systems in place to assist. "Despite the challenges, adding Medicare Advantage again was an opportunity to grow," said Associate Vice President of Enrollment. "We knew we could be successful with a Medicare Advantage line of business if we did it right."
With MHK MarketProminence, relaunching the Medicare Advantage Program was a rousing success. "We were one of the fastest-growing Medicare Advantage plans in the country. We added nearly 10,000 members in the first year alone," said Associate Vice President of Enrollment. Built-in workflows, audit trails, reporting and monitoring capabilities within MarketProminence help simplify enrollment and ensure complete compliance.
Simplify Enrollment, Premium Billing and Financial Reconciliation. Download the Case Study.
MarketProminence comes with countless built-in solutions to manage Medicare Advantage members, but customization lets health plans mold MarketProminence into whatever is needed. "Customization really is where MarketProminence is so far ahead of the competition," added the Associate Vice President of Enrollment. "It can work for any plan because it's so customizable. During implementation the MHK team kept asking us how we wanted to do things. We almost weren't prepared for that level of autonomy. That kind of flexibility is invaluable."
"We've talked to other health plans that had an awful experience trying to grow the way we did, but we never missed a beat. With MarketProminence, eligibility was never a question," said Associate Vice President of Enrollment. "In fact, enrollment timeliness was 99% within goals in the past year," said the Manager of Medicare Enrollment.
In addition to simpler, easier, more compliant member enrollment and financial management with MarketProminence, ongoing activities like member billing and financial reconciliation with CMS no longer take an army. That frees valuable resources.
Managing Medicare Advantage Members has never been simpler. Do more with less. Grow with confidence. Stay compliant with ease. Download the Case Study.
Efficiencies gained allow plans to move resources to other parts of the organization to be even more attentive. In addition, they can direct extra energy toward building good relationships with members and helping them do what we all want—to lead happier and healthier lives.
"When we looked for help to relaunch our Medicare Advantage program MarketProminence was head and shoulders above everyone else," noted the Associate Vice President of Enrollment. "It does everything you need to manage members in a Medicare Advantage Plan."
To learn more, download the complete case study and learn how we can supercharge your Medicare Advantage member enrollment and make managing those members easier than ever.
About MHK
As part of the Hearst Health network, MHK serves as a medical house of knowledge for our health plan and PBM partners. We provide them with the critical junction where care and knowledge converge. Our mission is to serve them as a trusted technology partner, empowering them with knowledge and insight to deliver optimal care across every member's health journey. To reach this goal, we are committed to helping our clients enhance operational efficiency, maximize revenue and meet compliance demands. The success of our clients speaks for itself. Forty percent of all 4-Star and 5-Star Medicare health plans utilize MHK technology, including eight of the top ten and four of the top five health plans in the U.S. Contact us today to learn how we can bring this same success to your organization.