Who is eHealth owned by?
The company sells plans in all 50 U.S. states and the District of Columbia from 170 health insurance carriers....eHealthInsurance.TypePublic companyProductsHealth InsuranceRevenue$251 million (2018)Net income$1 million (2018)Total assets$439 million (2018)10 more rows
Who is the CEO of eHealth?
Francis S Soistman Jr (Nov 2021–)eHealth, Inc. / CEO
What is CMS compliance?
CMS believes that compliance efforts are fundamentally designed to establish a culture within an organization that promotes the prevention, detection and resolution of instances of conduct that do not conform to federal and state law, or to federal healthcare program requirements. This compliance program guidance is intended to assist Medicare fee-for-service Contractors in developing and implementing effective compliance programs that promote adherence to, and allow for, the efficient monitoring of compliance with all applicable statutory, regulatory and Medicare program requirements. CMS, in its ongoing effort to work collaboratively with the Medicare fee-for-service Contractors, has developed these compliance guidelines as a demonstration of CMS’ commitment to compliance.
How long does it take to report Medicare fraud to CMS?
However, where the CO has credible evidence of misconduct from any source and has reason to believe that the misconduct may violate criminal, civil or administrative law relating to the Medicare program, then the Contractor should report the misconduct to the OIG and CMS within 30 days of discovering the misconduct. The contractor should have written procedures on how and when misconduct will be referred to CMS or law enforcement authorities.
What is a contractor's compliance policy?
The Contractor should have comprehensive written compliance policies and procedures, developed under the direction of the Compliance Officer (CO) and Compliance Committee, which direct the operation of the compliance program. The policies and procedures may be Medicare-specific stand-alone documents or may be drafted as Medicare supplements to corporate policies and procedures.
What should a contractor have in a CMS contract?
The Contractor should have a policy that describes the retention schedule for Medicare documents and records in accordance with CMS requirements. Documents identified by the CMS General Counsel’s office, the Department of Justice or the Office of Inspector General as being related to an investigation or other litigation should be retained in accordance with the requests of those offices.
What is the responsibility of a CO?
The Contractor should designate a CO whose primary responsibility is to oversee the implementation and maintenance of the compliance program. The CO should have adequate authority and independence within the organizational structure in order to make reports directly to the board of directors and/or to senior management concerning actual or potential cases of non-compliance. The CO must also report directly to corporate governance on the effectiveness and other operational aspects of the compliance program.The CO’s responsibilities should encompass a broad range of duties including but not limited to the investigation of alleged misconduct, the development of policies and rules, training officers, directors and staff, maintaining the compliance reporting mechanism and closely coordinating with the internal audit function.
What are the disciplinary policies of a contractor?
The Contractor should maintain written policies that apply appropriate disciplinary sanctions on those officers, managers, supervisors, and employees who fail to comply with the applicable statutory and Medicare program requirements, and with the Contractor’s written standards of conduct. These policies should include not only sanctions for actual non-compliance, but also for failure to detect non-compliance when routine observation or due diligence should have provided adequate clues or put one on notice. In addition, sanctions should be imposed for failure to report actual or suspected non-compliance.
What is OIG in healthcare?
To help healthcare providers such as hospitals and physicians comply with relevant Federal health care laws and regulations, OIG creates compliance resources, which are often tailored to particular providers.
What is OIG compliance?
OIG's compliance documents include special fraud alerts, advisory bulletins, podcasts, videos, brochures, and papers providing guidance on compliance with Federal health care program standards. OIG also issues advisory opinions, which cover the application of the Federal anti-kickback statute and OIG's other fraud and abuse authorities to ...
Ratings by Demographics
This rating reflects the overall rating of eHealth and is not affected by filters.
I love this place
Highest earning potential at any job I’ve ever been at. The benefits are incredible and the supervisors really care about their team. I’ve never had another job where a supervisor has reached out and asked how I was doing after work hours. The transparency within the company is incredible as well.
Best in Medicare
They really care about their people and do right by them. Phenomenal compensation plans at every level. World class systems enabling sales representatives to be their best. Great benefits from healthcare, to extra time off and more. Great business purpose and vision.
Great opportunity
Top notch training. Rewarding compensation. Leaders listen and are proactive, Colleagues really support one another and want to help each other succeed. Lucrative for dedicated hard workers.
More pros than cons
Systems are terrible Call metrics/reviews can be contradictory and put agents in rough spots
So far so good! Better then what I expected
I’m a remote worker. So far I’m just in training the pay/comp plan, benefits and overall culture has been the best I’ve seen. You get reimbursements for internet. bonus while in training and they provide you with equipment! And top of the line equipment at that. On top of that they pay for further licensing requirements.
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