Compliance is a particular concern for Health Plans and Pharmacy Benefit Managers in the Medicare Advantage and Managed Medicaid markets. With regulations continually changing in response to Health Care Reform, payers can minimize the risk of sanctions and increase plan ratings (and thus, revenue) by employing automated checks and balances, a less burdened internal system and best practice enforcement, according to a new white paper published by TMG Health.
The white paper, "3 Keys to Success in Part D Administration" outlines the pitfalls of administering Medicare Part D in an era of change and recommends actions for successful navigation of the changes brought forth by the enactment of the Affordable Care Act (ACA).
The paper includes insight and recommendations from TMG Health's operational subject matter experts as well as industry consultant Sherry Pound, of Med D solutions, and a representative of one of the nation's largest Pharmacy Benefit Managers.
TMG Health is the leading national provider of administrative solutions to the Medicare Advantage, Medicare Part D and Managed Medicaid markets. With more than 15 years of experience in providing technology-enabled Business Process Outsourcing services to insurers, employers, health plans and providers, TMG Health offers an innovative and comprehensive suite of services designed to minimize a plan's capital investment, lower a plan's ongoing operational costs and reduce the risks associated with Medicare Advantage and Medicaid Managed Care plan administration.