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MA Plan Services

Medicare Member Enrollment

Simplifying & Optimizing Complicated, Redundant Enrollment Processes

The enrollment process is one of the most important steps in growing and maintaining membership for a Medicare Advantage Plan. Creating an effective and efficient enrollment operation is achieved by optimizing the functionality of the enrollment process and making technological changes. Streamlining of enrollment operations greatly improves the health plan’s ability to consistently meet and exceed standards set by CMS.

Our Medicare Advantage Enrollment services comprise of a holistic set of consulting, technology solutions and services for MA plans that accommodate stringent CMS guidelines, intense service level requirements, industry compliance and quality standards.

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300+

Healthcare Consulting Professionals

5000+

Technology &
Consulting Team

50+

Global Healthcare
Customers

200+

Healthcare Consulting
Engagements

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The FluidEdge Advantage

Our Medicaid and Medicare enrollment specialists are experts at navigating complicated and redundant enrollment processes. Combined with predictive analytics and AI/ML capabilities, we offer MA plans a data-driven, member-centric approach to social program qualification. We help you identify, reach, and assist qualified members with enrollment in these programs

Enrollment Service Offerings

  • MA enrollment process assessment & roadmap: End-to-end assessment & remediation for all Medicare Advantage enrollment processes
  • Enrollment & billing vendor selection: Assisting with proposals & POCs along with evaluation and selection of vendors
  • MA enrollment optimization: Technology modernization services, including Embedded Intelligence based accelerators to uplift efficiency gain of enrollments by 60 – 70%. Implementing business process and organizational changes required to improve Enrollment Processes
  • Member engagement & consumerism: Developing and implementing strategy to drive proactive MA member satisfaction & onboarding through omni-channel process.
  • Operational support: Interim leadership, project management & governance and staff augmentation

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Know more about our business consulting services and technology solutions.

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