Long term partnership equates into EOB program optimization

Setting the standard for service — then keeping pace with new requirements

How can innovation at today’s health care companies keep pace with the increasing complexity and scrutiny of CMS regulations? If you’re one of the nation’s largest Pharmacy Benefits Managers, you answer that question by leveraging the latest technology and a longstanding relationship with RRD Healthcare Solutions. For close to a decade, we’ve helped this client manage and process their Medicare Part D Explanation of Benefits (EOB) program.

The original program integrated more than 40,000 printed bills and 600,000 EOBs each month for 19 different companies, including one version in Spanish. By working with our Business Communication Services group, the company was able to quickly launch this complex program and initially save over $200,000 annually on postage while maintaining stringent quality and security requirements.

Since that time, the program has nearly quadrupled in size to over 3,000,000 pieces monthly with annual postage savings growing to more than $1 million. In addition, we’ve helped the company introduce inserts into their EOBs in support of their member wellness initiatives and continue to bring new ideas to the table.

Recent changes to CMS regulations and internal goals have required new thinking to address issues including:

  • Piece-level tracking to meet increased CMS auditing frequency
  • Versions in eight additional languages as well as Braille to meet the CMS 5% language requirement
  • Electronic EOBs to meet the client’s goal of further lowering printing costs
OVER 3 MILLION Printed Bills & EOBs
$1 MILLION Annual Postage Savings

Expanding a relationship by building on its foundation

As the client’s business and volume has grown through the years, other providers have struggled to keep up with their pace. Yet RRD Healthcare Solutions has been there with them every step of the way, accommodating their growth seamlessly with multiple facilities and teams certified in healthcare-specific work – specifically in document creation, language translations and alternate formats for ever-changing CMS regulations.

The EOBs highlighted the difference between RRD Healthcare Solutions and the competition even further. While other print vendors may balk at the idea of going electronic, we stepped up as true partner to the client, ready to support their communication strategy regard-less of channel. We coupled our expert knowledge of their business with our cutting-edge e-solutions to easily convert printed communications to electronic formats.

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