A Flourishing Collaboration: Ultimate Health Plans and Mirra Health Care Enhancing Medicare Advantage Operations

Ultimate Health Plans (UHP) is a provider of Medicare Advantage Plans situated in Spring Hill, Florida. They cater to numerous counties in Florida, offering conventional Medicare Advantage Prescription Drug (MAPD) Plans, Chronic Special Needs (CSNP) Plans, and Dual Special Needs (DSNP) Plans. In 2021, UHP joined forces with Mirra Health Care (Mirra) to devise a software solution to support their operations. This case study demonstrates the prosperous partnership between UHP and Mirra Health Care, resulting in the execution of inventive and compliant resolutions for UHP's Medicare Advantage operations.

Identifying the Problem

UHP required a wide-ranging software solution to back various facets of their Medicare Advantage Plans, encompassing Claims Processing, Customer Service, Eligibility, Enrollment, Premium Billing,Encounter Processing, and a Provider Portal. The platform needed to abide by all Medicare and Florida Medicaid guidelines and regulations and had to be developed and executed within a stringent timeline

Crafting the Answer

Mirra Health Care collaborated closely with UHP's operations and compliance teams to design and execute a software solution that fulfilled their needs. Mirra's Project Management Team maintained constant communication with UHP's stakeholders through monthly gatherings and recurring weekly breakout-focused calls to resolve issues and synchronize goals. Mirra's ability to promptly adapt their systems to UHP's specifications ensured the platform's triumphant implementation and go-live.

Outcomes

The partnership between UHP and Mirra Health Care led to an inventive, efficient, and compliant software solution that streamlined UHP's Medicare Advantage operations. Mirra continues to back UHP's expansion in the healthcare sector by swiftly and effectively updating their systems with new Medicare and Florida Medicaid rates and guidelines. This guarantees smooth compliance and operational effectiveness for UHP.

Broadening the Alliance

In early 2023, UHP widened their collaboration with Mirra Health Care to create and implement supplementary systems for Appeals and Grievances and Campaign Management. This further signifies UHP's trust and assurance in Mirra's capacity to deliver compliant and efficient solutions for their organization.

Conclusion

The thriving collaboration between Ultimate Health Plans and Mirra Health Care exemplifies the success of a well-orchestrated cooperation between two organizations devoted to delivering top-notch healthcare services. The resulting software solution has enhanced UHP's operational efficiency and adherence to Medicare and Florida Medicaid guidelines, allowing them to continue offering exceptional healthcare services to their members. Nancy Gareau, CEO of Ultimate Health Plans, Inc., strongly endorses Mirra Health Care's systems to any payer seeking to augment their operational efficiency.