The Voice of Regan Pennypacker

Regan Pennypacker

About Regan Pennypacker

Regan brings to Gorman Health Group clients more than a decade of operational and compliance expertise in Medicare Advantage and Part D. In her role at GHG, she assists health plans with audits, gap analyses, and plan implementation by creating policies, workflows and marketing materials. Her expertise also extends to providing detailed training for compliance and operations, specifically in grievances, appeals, and compliance auditing. Read more

Innovating in 2014

Regan Pennypacker

CMS has developed an Innovation Center to address health care payment and service delivery models. It is a great site to find information about current Innovation Model Partners, and a place to share your ideas on how care can be delivered and paid for in ways that will lower care cost and improve quality of care. As always, the service to beneficiaries is at the heart of these initiatives, and for the program to continue, partners must be innovative.

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Consultant Assessment in the Headlines

Regan Pennypacker

Consultants were in the news this week; that doesn’t happen often. In this scenario which I will not deeply dive into, a private consulting team was brought on to independently assess the status of a certain federal health insurance enrollment system. Their assessment, after reviewing hundreds of documents and conducting scores of interviews, includes a number of risks with some detailed root cause drivers.

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Innovation and Quality must go hand-in-hand

Regan Pennypacker

Plan sponsors are waiting with anticipation for their 2014 Medicare Star Ratings to be released. Just yesterday, Tufts Health Plan in Watertown, Massachusetts released the news that their Medicare Preferred HMO plan was awarded 4.5 out of a possible five stars. It reminds me of the old Ford commercial jingle where they said “Quality is Job 1″. No truer words apply when it comes to maintaining high quality plan options for our nation’s Medicare beneficiaries.

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Agent Oversight Opportunities

Regan Pennypacker

The leaves will soon be changing, a sign of renewal. It sounds cliche, but I don’t know where this year has gone. There has not been much opportunity to stop and smell the roses while they were still in bloom! CMS has been busy and so have we.

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QHP Submission Reprieve

Regan Pennypacker

OK, so maybe reprieve is not the right word, since according to Google it is defined as “a cancellation or postponement of a punishment”. If you consider a deadline a punishment, then I suppose this is a reprieve, but I digress.

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So You Want to File a QHP Application

Regan Pennypacker

This will be the title of my instructional pamphlet that I envision sitting in a doctor’s office, among other great pamphlets such as “Talking to Your Kids about Drugs” and “Depression: Not Just a Hole in the Ground”.

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Transition Readiness

Regan Pennypacker

As AEP comes to a close on December 7, we are well into the time that organizations need to make sure that new members receive all of their required materials, including their identification cards. Having the annual election stretch to December 31 in the past was certainly to an organization’s advantage from a sales perspective, but it was an operational challenge when it came to ensuring those late applicants had access to services on day one.

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