Trending...
- Eric Bohannon Joins Buoy Health Board of Directors
- Knobull Helps Followers Make The Most Of Small Living Space
- Procurement Partners Welcomes Troy Thibodeau as Chief Marketing Officer
Beacon's Enrollment Manager eases payers' administrative burden, improves communications with brokers and enrollees, and increases member satisfaction.
HUNTINGTON BEACH, Calif. - BostonChron -- Beacon Healthcare Systems, a leader in compliance and regulatory solutions for payers, partnered with a regional Medicare Advantage (MA) plan to launch the new Beacon Enrollment Manager (BEM) module for Medicare Advantage and Part D enrollment and membership processing. As a result, BEM enabled the plan to improve efficiency by 92%.
Beacon implemented BEM at the plan prior to the Annual Enrollment Period (AEP) on October 15, 2021. The automated solution vastly improved productivity, helped ensure CMS compliance, and enhanced the MA member and broker experience.
Beacon's passion for partnership extends through product launches and implementations that are recognized for their commitment to schedule and budget. "We were especially pleased to partner with this client as this was our second product launch with them," said Ken Stockman, chief executive officer of Beacon. "The input we receive from our plan partners during product design on BEM and other modules is vital to unequivocally solve payer challenges."
More on Boston Chron
"Our partner plan's senior management calls BEM a 'game-changer,'" said Dick Warren, vice president of product and industry enrollment expert. "Before BEM, it took the plan nearly an hour to process a new application, including manually generating required correspondence. Using BEM reduced that time to less than 5 minutes, even with any plan-required manual validations and a newly added Option Supplemental Dental Benefit (OSB) for the 2022 plan year."
Beacon's Enrollment Manager helped the plan wrap up AEP successfully and called BEM "a vast improvement" and "very impressive." Members, sales associates, and brokers have been delighted with the enhanced communication, application tracking, and overall timeliness, especially during the recent AEP.
Automated from App to Approval
Digital automation allows applications to flow seamlessly from intake to CMS and downstream to vendors like print and fulfillment. Processors only need to act on submissions that do not pass automated validations.
Beacon's Enrollment Manager integrates directly into a plan's core and downstream systems for real-time Medicare membership updates and includes real-time connectivity with CMS to verify Medicare eligibility (BEQ – BIC). Automated CMS file transmissions use state-of-the-art APIs plus best practice workflows to ensure secure end-to-end application handling and completion.
More on Boston Chron
"Historically, the application process for Medicare Advantage and Medicare-Medicaid Plans (MMPs) has been labor-intensive," said Warren. "So, we have automated enrollment from receipt of the application from any source to CMS acceptance, including generation of member correspondence. Staff time to process a clean application is eliminated. Human intervention is only needed when data is missing or rejected. Processing timeliness and accuracy are vastly improved with less significantly manual work effort."
About Beacon Healthcare Systems
Beacon Healthcare Systems streamlines the business of healthcare through reliable, innovative SaaS technology delivered by industry experts. With a focus on appeals, grievances, compliance, enrollment, supplemental benefits, and analytics, Beacon HCS is the first-place health plans turn when looking for a trusted, experienced partner that can help them reduce costs, grow revenue, and achieve their strategic goals. Founded in 2011, Beacon HCS is a privately held California-based company. Beacon is hiring! beaconhcs.com/careers
Beacon implemented BEM at the plan prior to the Annual Enrollment Period (AEP) on October 15, 2021. The automated solution vastly improved productivity, helped ensure CMS compliance, and enhanced the MA member and broker experience.
Beacon's passion for partnership extends through product launches and implementations that are recognized for their commitment to schedule and budget. "We were especially pleased to partner with this client as this was our second product launch with them," said Ken Stockman, chief executive officer of Beacon. "The input we receive from our plan partners during product design on BEM and other modules is vital to unequivocally solve payer challenges."
More on Boston Chron
- The City Celebrates the Grand Opening of Barnard Place Park in South Boston
- InsideTracker Celebrates Global Running Day with Live, Virtual Event Featuring Rahaf Khatib, Sally McRae
- Starry Group Holdings, Inc. to Present at UBS Future of 5G Conference
- DOUG RENDE HAS BEEN SELECTED TO LEAD NORTH AMERICAN SPECIALTY LAMINATIONS, THE NORTH AMERICAN LEADER IN DIFFERENTIATED LAMINATED SOLUTIONS TO THE BUILDING MATERIALS INDUSTRY.
- Fantastic Sams Franchise Corporation Partners with First Development Agent in the Brand's Ambitious Expansion Initiative
"Our partner plan's senior management calls BEM a 'game-changer,'" said Dick Warren, vice president of product and industry enrollment expert. "Before BEM, it took the plan nearly an hour to process a new application, including manually generating required correspondence. Using BEM reduced that time to less than 5 minutes, even with any plan-required manual validations and a newly added Option Supplemental Dental Benefit (OSB) for the 2022 plan year."
Beacon's Enrollment Manager helped the plan wrap up AEP successfully and called BEM "a vast improvement" and "very impressive." Members, sales associates, and brokers have been delighted with the enhanced communication, application tracking, and overall timeliness, especially during the recent AEP.
Automated from App to Approval
Digital automation allows applications to flow seamlessly from intake to CMS and downstream to vendors like print and fulfillment. Processors only need to act on submissions that do not pass automated validations.
Beacon's Enrollment Manager integrates directly into a plan's core and downstream systems for real-time Medicare membership updates and includes real-time connectivity with CMS to verify Medicare eligibility (BEQ – BIC). Automated CMS file transmissions use state-of-the-art APIs plus best practice workflows to ensure secure end-to-end application handling and completion.
More on Boston Chron
- Alkermes Announces Continued Board Refreshment, Including the Appointment of Christopher I. Wright, M.D., Ph.D. to its Board of Directors
- Brian Peterson assisted Kaplan Tarps & Cargo Controls with obtaining a GSA Multiple Award Schedule
- Waters Corporation Presentation at the Jefferies 2022 Global Health Care Conference
- Boston: Mayor Wu Announces Curbside Food Waste Collection Program
- New Bill Opens the Door for Lawsuits Against the Government Based on Contaminated Drinking Water at Camp Lejeune
"Historically, the application process for Medicare Advantage and Medicare-Medicaid Plans (MMPs) has been labor-intensive," said Warren. "So, we have automated enrollment from receipt of the application from any source to CMS acceptance, including generation of member correspondence. Staff time to process a clean application is eliminated. Human intervention is only needed when data is missing or rejected. Processing timeliness and accuracy are vastly improved with less significantly manual work effort."
About Beacon Healthcare Systems
Beacon Healthcare Systems streamlines the business of healthcare through reliable, innovative SaaS technology delivered by industry experts. With a focus on appeals, grievances, compliance, enrollment, supplemental benefits, and analytics, Beacon HCS is the first-place health plans turn when looking for a trusted, experienced partner that can help them reduce costs, grow revenue, and achieve their strategic goals. Founded in 2011, Beacon HCS is a privately held California-based company. Beacon is hiring! beaconhcs.com/careers
Source: Beacon Healthcare Systems
0 Comments
Latest on Boston Chron
- Up and coming POP / R&B Girl Group Releases New Music Video
- Boston: Mayor Wu Provides Updates on City Efforts to Address Unsheltered Homelessness and Substance Use Crises Centered at Massachusetts Avenue and Melnea Cass Boulevard
- Schneider Electric Ranked Energy as a Service Leader by Guidehouse Insights
- Industrial IoT edge is now creating savings and opening the door to new revenue sources for enterprises
- Black Bourbon Society Partners With Jim Beam® for the 2nd Annual Open Door Tour
- IDpack in the Cloud, the official service provider for the 2022 Memorial Cup presented by Kia
- Hologic Announces European CE Mark for Molecular Assays for Use with Transplant Patients
- Eric Bohannon Joins Buoy Health Board of Directors
- ASI Launches iMIS.com Product Website, Expands Resources for Associations & Non-Profits
- Strategy Analytics: US Self-monitored Security Market to Reach $5.3B in 2027
- Suzahdi on eBay Australia in Warm Winter Leather 2022
- Paddle acquires ProfitWell to automate payments infrastructure for SaaS companies
- Stratum Nutrition® Announces Market Ready Dairy Free BLIS K12® and BLIS M18®
- CORRECTING and REPLACING Press Ganey, KidsX to Launch Pediatric Healthcare Accelerator to Address Health Issues in Lives of Children
- MC Residential LLC Names Greg Flatt Regional Vice President
- ENERGY33 is awarded an Engineering & Construction Management Contract in Honduras
- Join us Memorial Day Weekend - Sunday Brunch in Astoria, Queens
- Eastern Bank Foundation Honors CommonWealth Kitchen With A Community Advocacy Award
- Latino Leaders Network to Honor Mayor Tim Keller of Albuquerque with Antonio Villaraigosa Leadership Award at the 36th Tribute to Mayors
- Procurement Partners Welcomes Troy Thibodeau as Chief Marketing Officer