Medicare Advantage Shop & Enroll

The Challenge

Medicare is among the largest and fastest-growing segments in healthcare. Created in 1965, the federal health insurance program today has 64 million seniors enrolled. Each year, approximately four million Baby Boomers are aging into Medicare, more than 10,000 a day, and the number of beneficiaries enrolled in the program is projected to reach 80 million by 2030. Currently, Payors who offer Medicare are looking for ways to improve and streamline their shopping and enrolling processes by guiding this consumer market through an easy and intuitive path for obtaining a quote and completing enrollment in available Medicare plans. At the same time, the Payors are looking to improve their data integration, back-end stability, and streamline their operations and processes. Software applications aimed at selling Medicare are strictly governed by the Centers for Medicare and Medicaid Services (CMS) and must adhere to certain guidelines to support the consumers who qualify for these plans.

The Solution

Attentis has successfully implemented Salesforce Industries’ Medicare Shop and Enroll solution for many Payors nationwide. We have developed a proven methodology to collect unique requirements for each project while building on the CMS-required framework. We have years of experience gathering data required by CMS and we understand the boundaries and guidelines required to complete an approved solution. This solution takes Brokers, Consumers, and Internal Sales personas into account. Each of these roles resembles the others with slight nuances. Those nuances may be specific to your business but hold similarities across the industry.

Using a repeatable methodology, we have reusable artifacts that provide the starting point for our implementation. We use common components and predefined user stories that we will adjust to meet the specific needs of your business. Our predefined data dictionary can be modified to incorporate your existing Salesforce implementation (including Health Cloud, Sales Cloud, and/or Service Cloud) and can be used to support a best practices design. This design also ensures that the data needed for the CMS 834 enrollment file to successfully complete enrollment has been captured and stored. The Attentis solution for Medicare Shop and Enroll is an accelerator that leads to faster delivery with proven success.

The Benefits

The Attentis Medicare Shop and Enroll accelerator is built on top of Salesforce and ensures that your sales data resides on one platform. This data, and the Salesforce Medicare Shop and Enroll solution, will improve performance, stability, and integrations with other applications. Payors find that the total cost of ongoing technical maintenance decreases as the system meets current and future volume requirements, even during peak times like Open Enrollment. In addition, the shopper experience and satisfaction with the online sales portal are improved for your Medicare offerings. The simple, intuitive design allows your customers to trust and utilize the self-service features, getting your plans into their hands faster. This type of implementation is often completed in 4 – 6 months.

Attentis will work with your staff to ensure that implementation knowledge is transferred to enable them to effectively support the solution for subsequent plan years. When needed, Attentis will be by their side to offer support and guidance for a self-sustainable future. In addition, Attentis offers managed services for a complete outsourcing of your on-going solutions support.

Conclusion

The Attentis Medicare Shop and Enroll accelerator and methodology offers a proven successful implementation approach to meet compliance standards with an affordable and quick path to delivery. Let us show you how we can partner for success.

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