Madena, Ltd.

Madena supports MAPDs in navigating the challenges of Enrollment Reconciliation. Our team consists of technologically minded entrepreneurs, veteran enrollment analysts and industry regulatory experts. Our suite of services and solutions includes a Reconciliation Tool for complete enrollment audits as well as a Monthly Scorecard, CASE, which provides MAPDs a comprehensive assessment of the health of their current reconciliation system and an effective process to rapidly improving it. Our key capabilities include; Reconciliation Review Services: Our full-scale audit and verification services will look back at all of your company’s enrollment data including up to 24 months of enrollment data to rebuild your Medicare Enrollment history using existing data and CMS enrollment data to perform a true reconciliation for the time period.The review helps organizations resolve enrollment discrepancies with an approach that details every discrepancy and helps resolve it with CMS. CASE Monthly Scorecard: CASE provides an effective scorecard to improve and enhance the reconciliation process for MAPDs. It contains robust business logic to evaluate a plan’s enrollment records against CMS’ enrollment data to provide a clear, comprehensive and actionable report. CASE provides a fresh set of eyes on your Enrollment Reconciliation Process. You focus on managing enrollment and member experience while we focus on ensuring your Reconciliation Process is catching all ensuing discrepancies each month. Medicare Policy & Operations Training: We are regularly asked to speak at conferences across the country for both private and government organizations in healthcare enrollment. Garnered from this experience, we offer a variety of training services and programs on Part C & D Enrollment Policy and Operations. Our approach to training is to build a training program specific to the needs and interests of clients. We offer in-person, onsite training as well as virtual web training programs.