Best Practices to Face Medicare Beneficiary Information Challenge

Author:

Amy Schlom, Jordan Battani, Marshall Rosenfeld

The cost and compliance pressures faced by Medicare Advantage and Medicare Part D plans today create more incentive than ever to lower costs, maximize revenue, improve beneficiary service and ensure regulatory compliance.  Private Medicare plans that implement best practices in the three key process areas of enrollment, eligibility updates and reconciliation can enhance their performance by increasing premiums and reducing costs.  This paper discusses the steps that Medicare plans can take to address the unique challenges in maintaining beneficiary eligibility information amid complex coordination requirements with the Centers for Medicare and Medicaid Services (CMS).

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