Information for Health Plans

health plans

Why Choose NationsBenefits?

At NationsBenefits, our commitment to help millions of health plan members achieve a better quality of life through innovative supplemental benefit solutions is at the forefront of everything we do.

That’s why we offer a wide variety of technology-based solutions that go beyond Original Medicare to help health plan members make their desired health goals a reality.

Partnering with a leading supplemental benefits administrator, such as NationsBenefits, is a key component for successfully:

Enabling Growth and Retention
Ensuring Member Satisfaction
Improving Health Outcomes
Reducing Costs

Benefit Management Through One Partner

With NationsBenefits, your health plan has the convenience of one third-party administrator to partner with for all your supplemental benefit needs. Our approach is highly tailored to your health plan’s needs, and we offer:

Dedicated Resources/ Implementation Support

We assign dedicated resources with a single point of contact to coordinate and administer all supplemental benefit services for health plan partners. These resources are responsible for ongoing support, customization requirements, unique member requests, and day-to-day account management.
Medicare Compliance Program

Our robust Compliance department is well accustomed to responding to delegation oversight as well as FDR plan requirements. In addition, we provide CMS data validation support including, but not limited to, generating data records for universe tables, information for tracers, etc., participating in mock audits, and assisting plans with the ODAG portion of the CMS Program Audit.
IT Infrastructure

Partnering with one third-party administrator can help reduce a health plan's IT resources within eligible file transmissions. With NationsBenefits, all data is passed on a single file to a single source and housed in one central database, removing dependence on external processes.
Plan Sales & Marketing Team Training

We provide training to health plans’ sales and marketing teams across all applicable benefits to ensure all individuals have the necessary information to sell and support the benefits.
Analytics & Reporting

Comprehensive reporting is provided that includes health plan member utilization rates to help you make strategic decisions to boost performance, participation, and more.

Driving Member Satisfaction and Retention

Health plan member experience ratings will rise in weight to account for over 55% of the overall Star Ratings health plans receive by 2023, according to CMS.

At NationsBenefits, our goal is to support our health plan partners to champion these measures at their organizations.

That’s why it is important for us to have the necessary processes and infrastructure in place to ensure we can continue to meet—if not exceed—the highest level of standards while delivering significant value to health plan partners and members alike.

Data-driven insights to improve long-term health outcomes, HEDIS measures, and Star Ratings.
24/7/365 access to live support for an optimized health plan member experience.
Flexibility in implementation so that we can grow and adapt your program as we learn together.
Technology-based solutions that increase access, utilization rates, and engagement.
Reporting and analytics to integrate insights into transformational operations.

Innovation for a Healthier Tomorrow

We are continuously looking at new ways to deliver significant value to your members without incremental or direct funding through the development of digital health technologies that prioritize member experience, seamlessness, and flexibility. The spirit of innovation is at the core of our set of capabilities, and keeping the people we serve is at the center of all we do.