Simplify Healthcare’s eMedicareSync™ completes another successful bid season after automating 29% of CMS PBP bid submissions for 2023

Simplify Healthcare, one of the leading Digital Healthcare Platform providers for Payers, TPAs, and ASOs, announced that its customers leveraged its Medicare Advantage benefit plan management solution, eMedicareSync™, to complete another successful PBP bid submission season.

Surpassing the previous year’s success, Simplify Healthcare has enabled submission of more than a quarter of the total PBPs (29%) to CMS — an increase of 16% YoY. The company has also enabled submission of 20% of the total Standard Employer Group Plans (EGWPs) through eMedicareSync™.

Nirnay Patel, VP and General Manager – Govt. Business/Enterprise Digital Strategy at Simplify Healthcare, said, “Our continued growth towards 29% of PBP market share — is a strong reflection of our absolute focus on customer satisfaction, product-driven innovation, and thought leadership in pioneering technology solutions for Medicare Health Plans. Our platform approach is committed to enabling a connected benefits journey from quotes to claims within the Payer ecosystem. We are excited about our journey ahead."

eMedicareSync™ is the industry’s first end-to-end CMS PBP integrated Medicare Advantage plan management solution that automates processes from plan configuration to PBP bid submissions to ANOC, EOC, and SB generation using a single source of truth. It is designed to solve some of the key operational challenges like legacy systems, siloed benefits data, version control issues, Excel grid-driven manual processes, and last-minute fire drills to address changes coming from the CMS.

“It has been another great year for PBP submissions with 15 of our customers submitting the bid using eMedicareSync™ accounting for 29% of the total PBPs and 20% of the total EGWPs submitted for 2023, increasing our market share year-over-year. This further establishes the value of the eMedicareSync™ platform as a single source of truth, enabling the end-to-end MA product lifecycle management right from PBP submissions to document generation. This accomplishment could not have been achieved without a truly valuable partnership with our clients and great internal teamwork.” — Kaustubh Borole, Product Manager at Simplify Healthcare.

About Simplify Healthcare

Simplify Healthcare is one of the leading Digital Healthcare Platform providers for Payers, TPAs, and ASOs. Simplify Healthcare’s Digital Payer Platform enables Payers to achieve end-to-end Digital Transformation of their Benefits, Provider, and VBR journeys to elevate stakeholder experience, enable accurate-timely claims processing, improve membership retention, membership growth, and operational excellence.

For more information, please visit simplifyhealthcare.com

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