Why Do We Make Simple Things So Difficult?
Time and time again, we encounter “the coolest workarounds” ever invented within the government programs space. Said a different way, we encounter staff who are stuck inventing ways to accomplish the regulatory burden upon their shoulders when they don’t have the right processes and tools to efficiently do their job. The manual effort and workarounds almost get the job done but ultimately leave the plan short of their end goal. This phenomenon is not just seen in one operational area but is commonly experienced across multiple disciplines within the health plan.
In some cases, we are stuck with the workarounds forever. There is no good system, and there will never be one that eliminates some of these workarounds. The regulatory web is too tangled for good processes and tools to solve for it.
However, in other areas, we have solutions that will eliminate these workarounds and hundreds of hours of wasted manual effort to do some of the simplest things. One example of this is seen with some of the Part C & D Reporting requirements. We have heard horror stories of multiple team members working multiple weeks on nothing but agent/broker reporting requirements. Why? It’s not because they want to but because they don’t have the right solutions to eliminate the wasted effort. Without the right solution, the process of assembling these requirements in Quarter 1 of each year involves multiple files from multiple systems, which is never an easy task regardless of the department and data.
The Annual Election Period (AEP) is coming, and plans are making their decisions now in preparing agents for AEP. Have you considered the following questions?
• Is your Part C & D reporting for agents/brokers automated?
• Do you have a system that tells you when your agents are ready to sell?
• Are you using automated processes and tools to onboard your agents, or are you using spreadsheets and man-hours?
• How do you verify whether your Marketplace agents have met training and license requirements?
If you answered “no” or currently can not provide an answer to the above questions, Sentinel is the right solution for your organization.
Our clients who utilize the Onboarding and Oversight modules within Sentinel tend to take a vacation while other plans are doing their annual workarounds. Sentinel combines the ready-to-sell program steps, agent oversight allegation tracking, and enrollment information to produce Part C & D reporting requirements that are ready with a few simple clicks.
Workarounds versus vacation—you choose.
Resources:
Sales Sentinel™ is a flexible, module-based software solution with the ability to onboard agents, provide training, manage ongoing oversight activities and pay commissions. Read more >>
Join us on Thursday, May 26, from 1-2 pm ET, for an in-depth webinar analysis of the key changes finalized in the new Medicaid regulation, how these changes will affect states and managed care plans, as well as how to adapt. Register Now >>
Stay connected to industry news and gain perspective on how to navigate the latest issues through GHG’s weekly newsletter. Subscribe >>