Overview

Miramar:Connect by Convey Health Solutions is a comprehensive healthcare management platform designed to simplify and streamline operations within the Medicare and Medicaid sectors. It serves healthcare organizations by providing solutions to manage member interfaces, improve operational efficiencies, and enhance service offerings for Medicare Advantage (MA), Medicare-Medicaid Plans (MMP), and other health plan types. The platform is tailored to meet the unique challenges faced in the rapidly evolving Medicare environment, focusing on compliance, quality, and cost-effectiveness, making it a vital tool for health plans navigating the complexities of member management.

Features and Capabilities

• Seamless member management: Facilitates efficient enrollment, billing, and service coordination for Medicare members.
• Improved operational efficiency: Automates processes and integrates solutions to optimize healthcare service operations.
• Compliance and regulatory support: Ensures adherence to Medicare and Medicaid regulations through built-in compliance tools.
• Flexible solution offerings: Provides SaaS, outsourced, and advisory services tailored to the needs of Medicare plans.
• Advanced analytics: Utilizes data insights to help health plans improve decision-making and member satisfaction.
• Medicare Advantage (MA) support: Specifically designed for the Medicare Advantage sector, addressing unique service and regulatory requirements.
• Part D and EGWP solutions: Offers specialized solutions for Prescription Drug Plans (PDP) and Employer Group Waiver Plans (EGWP).
• Enhanced member engagement: Helps health plans strengthen member relationships with customized communication and service solutions.
• Cost-effective service models: Focuses on reducing operational costs while improving service delivery to members.
• Integration with other healthcare systems: Ensures smooth coordination with existing healthcare IT infrastructures and services.
• Customizable to various plan types: Supports diverse Medicare and Medicaid programs, from HMOs to Special Needs Plans (SNPs).