Case Studies

Ensuring Compliance

This company operates government-sponsored managed health care plans. With more than 218,000 enrollees, it is the largest subsidiary of a multi-state holding company and is consistently recognized as one of the top health plans in the nation. In addition to its traditional services, the company now participates in the Part D prescription drug plan for Medicare beneficiaries. The rapid changes in Part D requirements and guidance from the Centers for Medicare and Medicaid (CMS) posed compliance challenges for the company's training and documentation function.

Kaplan EduNeering provided a solution to the company's Part D training and documentation compliance needs. Our technology platform enabled the distribution, validation and documentation of a continuously updated 9-course Part D curriculum. Nationally recognized subject matter experts ensured that all courses incorporated the most up-to-date thinking and guidance of CMS. The function-based courses targeted the learning needs of employees, maximizing comprehension of material and minimizing the distribution of information unnecessary to successful job performance. Testing was incorporated into each course to ensure understanding of subject matter. Kaplan EduNeering's technology platform stores all training program documentation in an audit-ready format, with 24/7 accessibility for program managers and CMS inspectors.