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today’s SPEAKER David Koterba Senior Vice President – Healthcare Solutions Merrill Corporation @merrillconnect  #enrollmentcomplete
sessionOBJECTIVES Objectives: Review the changes impacting the 2012 Annual Enrollment Period Identify the keys to effectively managing change Discuss detailed action items for enhanced communications  Goal:  To think differently about how  current enrollment Processes can redefine your members’ enrollment Experience
2012 ENROLLMENT CHANGES AT-A-GLANCE EVOLVING REGULATIONS QUALITY & COST CONTROLS COMPRESSED TIMELINES Health Plans are forced to do more with less, at a lower cost!
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
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
compressedTIMELINES
keys TO EFFECTIVELY MANAGING CHANGE
keys to EFFECTIVELY MANAGING CHANGE Managing 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
keys to EFFECTIVELY MANAGING CHANGE Creating highly-targeted communications combining data and external market information: ,[object Object]
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,[object Object]
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,[object Object]
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,[object Object]

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2012 Enrollment Solutions Webinar

  • 1.
  • 2. today’s SPEAKER David Koterba Senior Vice President – Healthcare Solutions Merrill Corporation @merrillconnect #enrollmentcomplete
  • 3. sessionOBJECTIVES Objectives: Review the changes impacting the 2012 Annual Enrollment Period Identify the keys to effectively managing change Discuss detailed action items for enhanced communications Goal: To think differently about how current enrollment Processes can redefine your members’ enrollment Experience
  • 4. 2012 ENROLLMENT CHANGES AT-A-GLANCE EVOLVING REGULATIONS QUALITY & COST CONTROLS COMPRESSED TIMELINES Health Plans are forced to do more with less, at a lower cost!
  • 5. 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
  • 6. 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
  • 8.
  • 9. keys TO EFFECTIVELY MANAGING CHANGE
  • 10. keys to EFFECTIVELY MANAGING CHANGE Managing 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
  • 11.
  • 12. Keep communications assets in an environment that allows for tight version control
  • 13.
  • 14. Organize data, campaigns and distributions that accommodate tightened SLA’s and reporting requirements
  • 15.
  • 16. Maintain a real-time view into your materials usage, availability and distributions
  • 17. Use historical usage and business intelligence to tighten print orders and set re-order points driving down overall costs
  • 18.
  • 19. Utilize Inventory, Agent /Broker, Detailed Pre and Post Enrollment usage reports to effectively manage costs
  • 20. Leverage workflow production reports to further enhance efficiencies based on new market realities
  • 21.
  • 22. enrollment BEST PRACTICES Manage various data sources through an advanced PDR to normalize, standardize and report on via 2-D barcoding Create highly personalized and targeted enrollment communications to provide strong member materials Ensure that enrollment workflows are designed to combine personalized and static materials in a single production run Maintain accuracy, quality and strict adherence to established service level agreements throughout the enrollment process Ensure communications are tracked, reported and archived at the record, page and piece level
  • 24. 866-367-9110 | contactMCS@merrillcorp.com | www.merrillcorp.com/enrollment-complete

Editor's Notes

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