Turnkey Medicare Advantage Product Configuration and Document Generation solution. Industry's first CMS PBP integrated Medicare management system.
Eliminate errors, inefficiency, and risk.
Using Excel grids to drive your Medicare/Medicare Advantage product configuration creates errors, requires duplicate data entry, and takes multiple rounds of manual validation. And eleventh-hour document updates easily turn into a fire drill.
Automate end-to-end Medicare Advantage product lifecycle.
eMedicareSync creates single source of truth for benefits data. And dynamically generates plan and compliance documents.
Ensure end-to-end compliance.
Import / Export MA products to/from CMS PBP, auto generate ANOC-EOC and SB and enable collaboration across all stakeholder.
eMedicareSync improves the speed, accuracy, and cost-effectiveness of benefit plan design.
eMedicareSync named "Sole Leader" in IDC's MarketScape.
IDC MarketScape: U.S. Health Plan Product/Plan Benefit Configuration Solutions
2016 Vendor Assessment of U.S. Health Plan Product/Plan Benefit Configuration Solutions.
Source: IDC, 2016
The end-to-end Medicare Benefit Plan Management and Compliance solution for efficient and error-free operations.
Simplify configuration of benefit plans with intelligent decision support for sales, product development and document generation teams
Comply with configurable guardrails for regulations, business policy via centralized business rules
Flexibly capture ALL types of MA benefit plans
Engage all stakeholders via integrated use-case specific workflows vs. emails
Incrementally build benefit plans with inputs across teams
Annotate and track changes for regulatory and business communication content from single source
Robust audit trails enable compliance to regulatory agencies and external auditors
Generate all Medicare benefit plan communications document materials from the single source – ANOC-EOC, SB
Seamlessly integrate benefit plan information to/from CMS PBP for MA Bids
Frequently Asked Questions (FAQ's)
Please click on question to explore more
A. Medicare Advantage Plan Management is the process of managing the end-to-end process of Medicare Advantage Product/Plan configuration and document generation while complying with all state/federal policies, rules, and regulations.
A. Plan Benefit Package (PBP) is a system with a defined format that Health Insurers submit their Medicare Advantage plans to for CMS approval. Our solution, eMedicareSync™, can be easily integrated with CMS to manage PBP submissions and can efficiently configure customized Medicare products.
A. The use of traditional processes like maintaining benefits data in Excel grids creates challenges like: Inconsistencies between the grids, PBP, and the essential documents, forces manual proofing and re-proofing with every update. Similarly, loading your plan data into CMS’s PBP system can be problematic since it is typically a manual data entry process that is slow, tedious, and error-prone. Finally, keeping up-to-date with CMS’ changes, which can be last minute, can be very difficult for a Health Plan to ensure that the new requirements are fully understood and the needed changes are made to the Medicare Advantage plans.
A. eMedicareSync™, an MA product configuration solution enables Health Plans to automate end-to-end Medicare Plan Management as it is industry’s first turn-key MA product/plan configuration (CMS PBP) and document generation solution that improves accuracy, timeliness, and cuts efforts/cost by up to 75%. Simplify Healthcare takes on the burden of digesting CMS’ changes and incorporating those directly into eMedicareSync™.
A. With MA Plan Management Solution, all MA compliant documents like ANOCs, EOCs, and SBs can be generated in a single click.
A. eMedicareSync™ is the only solution in the market built with a full understanding of the Medicare Advantage process in mind. It starts by ingesting your prior year PBP submission to create the single Source of Truth for all Medicare Advantage product information, comes pre-configured to load PBP, can produce documents at the click of a button, and eMedicareSync™ automatically updates CMS rules, removing that burden from you!
Health Plan implements eMedicareSync
Health Plan generates all 100% accurate Medicare compliance documents on time. Reduces effort and admin cost by 75%.
What our customers say.
DIRECTOR - MARKETING COMMUNICATIONS
eMedicareSync reduced 75% time and effort to build Medicare/Medicare Advantage products and auto-generated all documents in time and with quality. This was our first CMS submission where there was no chaos due to last minute changes.