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Health Plan News & Insights

Expert Q&A: Deb Mabari, CEO


Q: How can I prepare to comply with the Summary of Benefits guidance recently provided by CMS?   
 
A: On April 15, the Centers for Medicare and Medicaid Services (CMS) released the Summary of Benefit (SB) Guidance for Contract Year 2017. Based on these requirements, health plans can now more easily utilize a template to create SB versions. This is great news for health plans, because they will no longer be required to use the archaic Plan Benefit Package (PBP) software to create SBs.
 
For health plans that are currently using or intend to use CodySoft® for the creation of their ANOCs and EOCs, they will now be able to create versions of their SBs using the same methodology. This will provide a more streamlined, template approach to address this need.
 
Read Full Article >>
 

 

Cody Launches CodyPrint, Hires Doug Pray


We are pleased to announce the launch of CodyPrint™, which will complement the CodySoft® Collateral Management Module® to provide the first full-service solution for the design, distribution and compliance tracking of important member marketing materials.
 
Please also join us in welcoming Doug Pray to the Cody team. Doug will serve as the Director of CodyPrint and brings more than a decade of enterprise-level experience in design, prepress, print and fulfillment.
 
Read Full Article >>
 

CODY IN THE NEWS


May 20, 2016
People on the Move | Tampa Bay Business Journal Read More
 
May 19, 2016
Insurers prepare for Medicare's annual change and coverage documents deadline; What to know |Healthcare Finance News Read More
 
May 3, 2016
Cody launches first single-source solution for health plans’ member marketing materials| Healthcare Dive Read More
 
March 21, 2016
CMS Cracks Down on Medicare Advantage, Part D Compliance | Inside CMS Read More
 
March 1, 2016
Streamlining compliance with Medicare Part C and D reporting on plan oversight of agents | Compliance Today Read More

INDUSTRY NEWS


Contributing editor of HealthAffairs Blog, Timothy Jost, discusses CMS’ updates to Summary of Benefits and Coverage templates in CMS Releases Final Summary Of Benefits And Coverage Template, Accompanying Materials.

FierceHealthPayer Editor Leslie Small discusses how the government is increasingly coming down hard on health plans that violate federal regulations in CMS ramps up enforcement of Part C, Part D Medicare plan violations.
 
Modern Healthcare Reporter Bob Herman discusses how the federal government plans to beef up medical record auditing of Medicare Advantage plans in CMS tests waters for enhanced Medicare Advantage audits.



 
Medicare/Medicaid Statistics
We help government-funded and commercial health plans maximize efficiencies, reduce risk and experience savings by streamlining marketing communications and regulatory compliance issues. www.codyconsulting.com
CodySoft® is a revolutionary suite of web-based software products designed specifically for health plans and their complex environment. www.codysoft.com
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