Premium Assistance
Increased transparency in your Medicare Savings Program.
Keeping Medicare premium payments up-to–date.
The Medicare Savings Program is a federally mandated initiative designed to help Medicaid members by covering their Medicare premiums, coinsurance, and deductibles. Not only does this program ensure that eligible beneficiaries receive the necessary financial assistance, but it also increases cost avoidance efforts for Medicaid, ensuring it is the payer of last resort.
KL&A’s role & technology.
Whether you are looking for a modern software solution or need help sharing the workload with long-time experts, KL&A’s premium assistance solutions can help you navigate the world of cost share for dual eligible beneficiaries. We can facilitate seamless data exchanges between a state’s existing eligibility system and the Centers for Medicare & Medicaid Services (CMS) to ensure accurate and timely premium payments. KL&A provides ample opportunity for an integrated solution to suit your unique situation that provides complete oversight and transparency at the click of a button.
SYSTEM CAPABILITIES
Ensure accurate and efficient management of your state’s Medicare Savings Program.
- Ensure Medicaid pays the appropriate amount for Medicare premiums as our system accurately matches up your eligibility categories (QMB, SLMB, ALMB, QI) with detailed reports.
- Easily access intuitive, interactive dashboards to review daily and monthly files exchanged with CMS, streamlining workflows and minimizing manual effort.
- Access a comprehensive view of enrolled members and their history of CMS transactions, enabling precise tracking and management.
- Advanced data mining allows us to compare data from your state’s eligibility system and your MMIS to identify gaps in Medicare coverage based on eligibility. This ensures the most accurate data is used to cost avoid for both premium payments and TPL.
SYSTEM CAPABILITIES
Ensure accurate and efficient management of your state’s Medicare Savings Program.
- Ensure Medicaid pays the appropriate amount for Medicare premiums as our system accurately matches up your eligibility categories (QMB, SLMB, ALMB, QI) with detailed reports.
- Easily access intuitive, interactive dashboards to review daily and monthly files exchanged with CMS, streamlining workflows and minimizing manual effort.
- Access a comprehensive view of enrolled members and their history of CMS transactions, enabling precise tracking and management.
- Advanced data mining allows us to compare data from your state’s eligibility system and your MMIS to identify gaps in Medicare coverage based on eligibility. This ensures the most accurate data is used to cost avoid for both premium payments and TPL.
OVERSIGHT & CONTROL
Accuracy over everything.
- While our system utilizes robust automated processes, you have full control and oversight by equipping administrators with tools to review and approve all exports sent to CMS.
- Generate reports to verify that CMS invoices match the transactions tracked within our system, preventing overpayments or underpayments and ensuring financial accuracy.
- With our TPL experts by your side, those daily reports consolidated into more accurate monthly overviews allow us to keep up with even the smallest of changes to ensure smooth repayments and even smoother end-of-year fiscal reporting like CMS 64.
INTEGRATION & AUTOMATION
Keep communications streamlined and your work efficient.
- Seamlessly integrate directly with CMS to send and receive daily transactions, ensuring real-time updates and reducing discrepancies that allows your team and our staff to work proactively.
- Leverage automation to handle most processes, reducing manual intervention and reliance on email tracking to enhance communication, ensure timely updates, and provide a streamlined management process.
- Quickly address problem files as they are automatically identified by the system, with simple user workflows and admin oversight tools to streamline issue resolution.
INTEGRATION & AUTOMATION
Keep communications streamlined and your work efficient.
- Seamlessly integrate directly with CMS to send and receive daily transactions, ensuring real-time updates and reducing discrepancies that allows your team and our staff to work proactively.
- Leverage automation to handle most processes, reducing manual intervention and reliance on email tracking to enhance communication, ensure timely updates, and provide a streamlined management process.
- Quickly address problem files as they are automatically identified by the system, with simple user workflows and admin oversight tools to streamline issue resolution.
Ready to buy-in?
Let’s put your data to work to help both your state and constituents.