“Is my doctor in network?” is one of the hardest questions for Medicare agents to get right, so it’s great to see CMS taking steps to make MA provider directories more accurate with their latest proposed rule.
CMS’s own reviews found 44% of directory listings had at least one location error. Its rule would reduce this by requiring MA carriers to verify their directories at least every 90 days and cap beneficiary costs stemming from wrong listings.
The rule is a big step forward, but it only solves half the problem. The other half is getting this data to agents in the moment they’re making a recommendation. We recently launched Plan Fit, a new quoting experience that shows Spark agents whether a provider is covered directly in their quote-and-enroll workflow. Not only that, it scores each plan and labels where it wins (cost, coverage, or both). As directories get more accurate, so will the information at our agents’ fingertips.
That’s the role that Spark plays, connecting agency principals, brokers, and carriers with technology and insights so everyone can write better enrollments and grow faster in this era of quality.
.png)
.png)
.png)
.png)
.png)
%201.webp)
.png)
.webp)
.png)
.png)
.png)
.png)
.png)
.png)
.png)
.png)
.png){kind=spacer}
.png)
.png){kind=spacer}
.png){kind=spacer}
.png){kind=spacer}
.jpeg)
