There are many different OTC categories that members will be interested in. We have 30 different categories in our OTC Benefit Programs that health plans can choose to offer to their members. We build custom programs for each plan to
Star Ratings for Health Plans
CMS gives star ratings to help prospective members as well as other companies evaluate the quality of a program that a Health Plan is offering. Health Plans are ranked from 2 stars to 5 stars upon many different factors. Each of
HIPPA Compliance & Security Protocols
Security is one of the most important considerations when handling personal information of members and we take it very seriously at OTC Benefit Solutions. We are HIPAA compliant and strive to protect member data at all times. Here are a
What is new for Medicare 2016?
Medicare and Medicare Advantage have some changes each year. CMS is always trying to improve their service for members, so the changes are made with the goal of making members happy and provide better health services. Here are a few of
Consider a Catalog Program Instead of a Card
There are a few different ways to administer an over the counter benefit for members of a health plan. With the goal of providing the members with the best possible products and service, a Over The Counter Catalog Program is the best
Accepting 834 Eligibility Files for The OTC Benefit
What are 834 Files? The 834 files is a digital file format that is used to transfer private health information between employers, health plans and vendors. The file contains all the relevant information about people who are eligible for the benefits
Benefits of Home Delivery
Many senior citizens face various daily struggles because overtime age brings about vulnerabilities. One major obstacle confronting the elderly is acquiring the medicines, and medical supplies needed to survive. Healthcare providers and organizations can remove the burden for their older
Reducing Procedures by Low Volume Hospitals
Low volume hospitals are hospitals that are not performing a specific type of surgery very often and are there fore likely not as good at the procedure as larger, busier hospitals. The relationship between low procedure volume and worse outcomes for
Unnecessary Procedures Cost Medicare Money
Up to 30% of all procedures and tests that are prescribed to patients can be considered unnecessary or overkill. This is 30% of overall medical spending, not just Medicare! Since Medicare pays for healthcare for elderly people, and these people
Best Over-the-Counter Products
Seniors have many ailments, but some of the most common ailments are easily treatable with over-the-counter (OTC) products. There are tons of OTC products available, but which are the best? How is a senior supposed to know which products are the