Medicare Advantage Operations Archives

Medicare Advantage Operations Member Experience / CAHPS Winter 2025

Secret Shopping – See Your Plan Through the Member’s Eyes

Secret shopping is one of the most effective ways to understand how your plan performs in real-world scenarios. By posing as prospective members, these evaluations reveal whether your call center…

BluePeak AdvisorsDecember 3, 2025

Medicare Advantage Operations PBM & Pharmacy Compliance Winter 2025

Year-End Benefit Testing – Accuracy Before January 1

Year-end testing is essential to validate claims accuracy, ensure compliance with IRA mandates, and confirm PDE reporting integrity. This process guarantees that your systems are prepared for the new contract…

BluePeak AdvisorsDecember 3, 2025