Medicare is the largest government sponsored healthcare benefits program in the United States. With the healthcare reform and health insurance exchanges soon to arrive on the U.S. healthcare landscape, the Medicare program is likely to undergo some key changes in the way Medicare services have traditionally been dispensed.
The health reforms have introduced fresh ideas, such as, expending information technology and the internet to increase consumer access to Medicare related information, into a healthcare industry that since long has relied on paper-based applications for enrolling individuals. Several healthcare IT companies have designed Medicare software that comes pre-equipped with Medicare eligibility and enrollment tools to determine eligibility and enroll for various health plans through the internet. Such tools are specifically designed in a simple and easy-to-understand manner to help seniors easily comprehend the information and enroll online for health plans.
Medicare assists people over the age of 65 in receiving basic to advanced level of healthcare through government sponsored plans and subsidies. Individuals, above the age of 65 years; less than 65 years old but with afflicted with a disability; any age but at End Stage Renal Disease, are eligible to participate in the Medicare eligibility program. Seniors and other people eligible for Medicare traditionally have sought the assistance of brokers and agents in determining eligibility and enrolling in health plans.
Medicare eligibility and enrollment software is particularly useful to insurers who operate in the managed care market. Insurers need robust Medicare software system to simplify the automated aggregation of consumer data from various federal and state agencies and for ensuring compliance with the guidelines laid down by the CMS Medicare systems. Some Medicare software designed by healthcare IT companies also has an online billing system that enables online payment of bills and other payments.
Medicare software with a simple and user-friendly Medicare eligibility and enrollment interface can not only expedite the plan enrollment process for consumers but it can also help insurers in reining healthcare administrative costs by reducing the processing time for applications and storing the data in virtual format instead of physical paper files.
Medicare software can be easily deployed on insurers’ local network and can be integrated with various external healthcare organizations and entities such as federal and state agencies, insurance exchanges, etc. Streamlining the Medicare eligibility and enrollment process with a 24/7 customer assistance service can help seniors in applying for a coverage themselves without relying on a broker or an agent for assistance.
Insurers planning to deploy Medicare software on their local IT networks, however, would need to ensure that the Medicare eligibility and enrollment software is designed in accordance with the guidelines and the mandates issued under the health care reform and by the CMS.
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