Recent CMS Audits with Average Fines of $750k+
Those darned ANOCs, what could go wrong? With recent CMS audits with average fines of $750,000+ and over $13 million in CMPs for 2015 the dollar spent for in-house production just multiplied. In another MA contract, CMS added, “9,098 enrollees received an ANOC that incorrectly stated…” (AISHealth.com). Double-stuffs: Good for Cookies –bad for member kits. With member kits that cost between production, fulfillment and postage, upwards of $20 each, a mistake of that magnitude equates to around $360,000 plus fines. (9,000 x $20 for the first mistake and 9000 x $20 to resend the kits).
Health plan directors are typically concerned with wellness, spend and profitability. The three are inextricably tied together. In recent interviews with health plan directors several commonalities on the subject of spend recurred. One common notion was, a “do-it-yourself” mentality for member communications fulfillment would reduce spend. What plans might not know is that “doing-it-yourself” actually increases spend and risk consequently reducing profitability.Discover More