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today’s SPEAKERDavid KoterbaSenior Vice President – Healthcare SolutionsMerrill Corporation                       @merrill...
session OBJECTIVESObjectives:   – Review the changes impacting the 2012 Annual Enrollment Period   – Identify the keys to ...
2012 ENROLLMENT CHANGES AT-A-GLANCE  EVOLVING            QUALITY & COST          COMPRESSED REGULATIONS            CONTROL...
evolving REGULATIONS• Ad-hoc communications definitions   – Customer service correspondences pertaining to unique     ques...
quality & cost CONTROLS• Newly defined cost structures have changed the  breakdown of Medical Loss Ratios (MLRs)   – For 2...
compressed TIMELINES
keys TO EFFECTIVELY MANAGING CHANGE
keys to                         EFFECTIVELY MANAGING CHANGEManaging disparate data into a singular workflow:   – Bring all...
keys to                        EFFECTIVELY MANAGING CHANGECreating highly-targeted communications combining data  and exte...
keys to                        EFFECTIVELY MANAGING CHANGEEmploying a workflow that combines personalized and  static mate...
keys to                        EFFECTIVELY MANAGING CHANGETightly managing inventory levels, controls and cost:   – Utiliz...
keys to                        EFFECTIVELY MANAGING CHANGELeveraging robust reporting within the materials production  and...
enrollment BEST PRACTICESManage various data sources through an advanced PDR to normalize,  standardize and report on via ...
thank YOU
866-367-9110 | contactMCS@merrillcorp.com |www.merrillcorp.com/enrollment-complete
Enrollment Strategies in a Post Reform World
Enrollment Strategies in a Post Reform World
Enrollment Strategies in a Post Reform World
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Enrollment Strategies in a Post Reform World

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Looking to Improve the Effectiveness of Pre and Post Enrollment Communications? Learn about the changes impacting the Annual Enrollment Period, and how to effectively comply.

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Enrollment Strategies in a Post Reform World

  1. 1. today’s SPEAKERDavid KoterbaSenior Vice President – Healthcare SolutionsMerrill Corporation @merrillconnect #enrollmentcomplete
  2. 2. session OBJECTIVESObjectives: – Review the changes impacting the 2012 Annual Enrollment Period – Identify the keys to effectively managing change – Discuss detailed action items for enhanced communicationsGoal: To think differently about how current enrollment Processes can redefine your members’ enrollment Experience
  3. 3. 2012 ENROLLMENT CHANGES AT-A-GLANCE EVOLVING QUALITY & COST COMPRESSED REGULATIONS CONTROLS TIMELINESHealth Plans are forced to do more with less, at a lower cost!
  4. 4. evolving REGULATIONS• Ad-hoc communications definitions – Customer service correspondences pertaining to unique questions or issues affecting small groups of enrollees• Additional formats to convey information to members with disabilities – Braille, Large print, Translations• Disclaimer Translations – Translated disclaimers required under English disclaimers in member materials
  5. 5. quality & cost CONTROLS• Newly defined cost structures have changed the breakdown of Medical Loss Ratios (MLRs) – For 2011 and moving forward, plans must operate within an 85/15 split• Reduced allocation for staffing, overhead and marketing expenses force plans to look for cost-controlling marketing and communication options that won’t detract from the member experience• STAR Rating to be included in pre-enrollment materials as well as on ‘Medicare Plan Finder’ website
  6. 6. compressed TIMELINES
  7. 7. keys TO EFFECTIVELY MANAGING CHANGE
  8. 8. keys to EFFECTIVELY MANAGING CHANGEManaging disparate data into a singular workflow: – Bring all relevant data into a single production data repository (PDR) – Normalize the data and then run advanced data quality processes against this consolidated view – Tag each data record with a 2-D barcode – Reporting becomes more streamlined, efficient and is able to deliver advanced business intelligence
  9. 9. keys to EFFECTIVELY MANAGING CHANGECreating highly-targeted communications combining data and external market information: – Append third-party, to available member data, to create a more comprehensive view – Keep communications assets in an environment that allows for tight version control – Address updates related to the Affordable Care Act as they unfold, providing guidance to the member
  10. 10. keys to EFFECTIVELY MANAGING CHANGEEmploying a workflow that combines personalized and static materials in a single production run: – Create communications that are delivered to the correct recipient within a framework that includes audit and tracking mechanisms – Organize data, campaigns and distributions that accommodate tightened SLA’s and reporting requirements – Ensure that all data and information is tagged at each step of the production process
  11. 11. keys to EFFECTIVELY MANAGING CHANGETightly managing inventory levels, controls and cost: – Utilize data to effectively target members with only applicable materials to eliminate waste and obsolescence – Maintain a real-time view into your materials usage, availability and distributions – Use historical usage and business intelligence to tighten print orders and set re-order points driving down overall costs – Allow for a clear understanding of how those materials are being received in the market as well as by various sales channels
  12. 12. keys to EFFECTIVELY MANAGING CHANGELeveraging robust reporting within the materials production and distribution process: – Track and provide enhanced reporting via 2-D barcode application and monitoring – Utilize Inventory, Agent /Broker, Detailed Pre and Post Enrollment usage reports to effectively manage costs – Leverage workflow production reports to further enhance efficiencies based on new market realities – Closely monitor piece level integrity to ensure strict SLA adherence throughout the enrollment process
  13. 13. enrollment BEST PRACTICESManage various data sources through an advanced PDR to normalize, standardize and report on via 2-D barcodingCreate highly personalized and targeted enrollment communications to provide strong member materialsEnsure that enrollment workflows are designed to combine personalized and static materials in a single production runMaintain accuracy, quality and strict adherence to established service level agreements throughout the enrollment processEnsure communications are tracked, reported and archived at the record, page and piece level
  14. 14. thank YOU
  15. 15. 866-367-9110 | contactMCS@merrillcorp.com |www.merrillcorp.com/enrollment-complete

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