Marketplace Plan Management Compliance Reviews (MPMCR) Prime Contractor
StrategyGen is supporting the Centers for Medicare and Medicaid Services (CMS) to provide Marketplace Plan Management Compliance Reviews (MPMCR). The purpose of this initiative is to conduct various types of Compliance Reviews of health insurance issuers. These reviews are required by CMS' Center for Consumer Information and Insurance Oversight (CCIIO), in support of the health insurance Exchanges as required under the Patient Protection and Affordable Care Act (ACA).
StrategyGen performs:
- Compliance Review Strategy, Reviews Protocols and Reports and SOPs
- Specialized Reviews of Renewal, Discontinuation, and Risk Assessment and Compliance Review Findings
- Qualified Health Plan Issuer Compliance
- Direct-Enrollment Entity Compliance
- Targeted and Expedited Issuer Compliance
- Web Audit Process Support
- Agent and Broker Agency Audit Process.