With the Medicare open enrollment period now underway, Medicare Advantage and Medicare Supplement health plans are faced with the enormous administrative challenges that accompany both the sales process as well as their ongoing internal operations. To help add accuracy, efficiency and confidence in this process at this critical time of year, many leading health plans are turning to Beacon Healthcare Systems’ Virtual Compliance Manager (VCM).
Beacon is home to the healthcare industry’s leading compliance and risk management technologies. Its VCM is the only solution in the industry to provide a state-of-the-art compliance, analytics, monitoring, and regulatory guidance-tracking and routing capabilities. With separate modules for guidance, audit workflow and automated monitoring, VCM is the only solution to provide real-time auditing and monitoring of transactional data that allows a health plan the opportunity to correct and address issues immediately.
“We understand just how challenging it can be to maintain effective and compliant enrollment processes while systems and people are working at a frenzied pace to keep up with the workload during open enrollment,” says Beacon CEO Ken Stockman. “Configuration flaws in enrollment systems, delays in marketing materials, gaps in training and simple human errors can all lead to compliance problems, member issues and rework. Without active monitoring, these issues can compound, leaving health plans with a backlog of items needing clean-up.”
Beacon’s VCM can help health plans with all of these challenges by allowing plans to quickly identify and resolve problems before they inflate, thus improving compliance, reducing processing costs and enhancing member satisfaction—all of which are of major focus for the Centers for Medicare & Medicaid Services. At the same time, VCM’s Document Workspace Manager can help plans distribute important information in a timely manner or assign group and individual tasks to ensure compliance and operational readiness.
“With so much to juggle this time of year and so much at stake, having daily automated visibility into the accuracy of enrollment processing has never been more important,” said Stockman. “Fortunately, it has also never been more readily available thanks to our Virtual Compliance Manager, which is helping plans around the country have a truly successful enrollment season and reach their business and quality goals.”
For 2020 coverage, open enrollment began Oct. 15 and runs through Dec. 7, 2019. During that time seniors and others on Medicare can make changes to various aspects of their coverage; switch from original Medicare to Medicare Advantage, or vice versa; and select or retain a supplemental or prescription drug plan.
Beacon Healthcare Systems is home to the healthcare industry’s leading compliance and risk management technologies, providing health plans of all sizes and sponsorships with customizable and scalable SaaS (Service as a Software) solutions that ensure accountability, accuracy and operational efficiency. With a focus on appeals, grievances, compliance and analytics, Beacon HCS is the first place health plans turn to when they are looking for a trusted, experienced partner who can help them reduce costs, grow revenue and achieve their strategic goals. Founded in 2011, Beacon HCS is a privately held California-based company with a technology center located in Austin, Texas. beaconhcs.com.