Evolving healthcare/insurance regulations make the creation and distribution of Medicare-related pre-enrollment and compliance materials both complex and costly. Combine this with a dizzying maze of approval processes and tight, mandated delivery schedules, and you have a recipe for a major challenge.

Cierant has built specialized expertise in the planning, management and cross-media execution of programs to help insurers reach prosepctive customers, then deliver the mandated materials to new applicants in a timely and cost-efficient manner. Core to the Cierant approach to Medicare program support is an integrated management process that comprehensively defines the project plan, including:

• Data source definition and data flow procedures

• Document content requirements

• Program delivery timelines

• Reporting and audit requirements

Cierant, working in conjunction with Strategic Content Imaging's (SCI) advanced digital print production capabilities, then helps clients apply state-of-the art print-on-demand services to create a program that provides:

• Zero-inventory EOC and ANOC/EOC production or high-personalization pre-enrollment kits with integrated tracking and measurement technology

• Optimized inventory management of long page count directories and formularies

• Automated, personalized dynamic document assembly with integrated archival PDF production

• Postage-optimized distribution for pre-enrollment and compliance mailings, including both routine benefits fulfillment and for annual reneval mailings

Cierant also supports advanced web-to-print solutions for field sales customization of documents such as Summary of Benefits documents for commerical accounts, using dependent-logic menus, dynamic image substitution and real-time page reflow. Our web-to-print user interfaces make online doucment composition fast, easy to understand and highly accurate. 

Case Study:  Blue Cross Licensee Saves Time/Money While Increasing Compliance on EOC and ANOC/EOC Fulfillment

For the past 5 years, Cierant has worked with a major Blue Cross Blue Shield state licensee to apply our management and production technologies as part of comprehensive Medicare Advantage fulfillment and compliance program. Our client was struggling with both inventory management on hundreds of document variations in order to comply with a variety of individual state regulations, while also finding that it was near-impossible to maintain compliance under increasingly stringent delviery timelines. At the same time, the company realized that waste on obsolete documents was growing rapidly as regulatory changes and compeitive market forces made it more difficult that ever to accurate forecast the required print volumes for cost-efficient traditional print production. Our challenge was to help the client to improove program compliance while reducing print production and warehousing costs.

The Cierant Solution:

Utilizing Cierant mangement protocols combined with SCI digital asset management, programming and print-on-demand capabilities, the process of creating personazlied, perfect bound EOC and ANOC/EOC cfulfillment kits was fully automated. Under this program, our client creates all certificates on-demand including all rider and contract requirements and is able to archive a complete PDF of the final document for audit purposes. THe program includes full kit assembly with associated directorty, formulary and marketing materials, and provides data prescreening for regulatory compliance checks and .

The Results:

• As a result of eliminating unnecessary printing and obsolete inventory, our customer typically prints 30%-40% fewer pages per year resulting in a significant cost savings.

• Print-on-demand documents, which can be manufactured and shipped in a day, reduced the chance of sending out-of-date or non-compliant documents to their clients

• Optimized document presorting and production planning permitted use of less expensive shipping methods for even tight-timeline compliance mailings, resulting in a significant cost-savings to the client.