september 9, 2005 washington, d.c. my.medicare.gov - the medicare beneficiary portal the future of...
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September 9, 2005 Washington, D.C.
My.Medicare.gov - The Medicare Beneficiary PortalThe Future of Beneficiary Self-Service
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Agenda
My.Medicare.gov Overview
Beneficiary Internet Adoption Statistics
Beneficiary Adoption of My.Medicare.gov
My.Medicare.gov Screenshots
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My.Medicare.gov Overview
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My.Medicare.gov - OverviewReduced call center costs through beneficiary self-service adoption
24 * 7 secure access to vital beneficiary information
Alternative communication channel for Medicare beneficiaries to receive personalized Medicare information, including Preventive Services and Claim Status
Flexible solution that can scale to address evolving information needs from a growing and changing beneficiary community (e.g., Baby Boomer Generation)
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My.Medicare.gov - OverviewCMS developed My.Medicare.gov as an alternative communication
channel for Medicare beneficiaries to receive information regarding their Medicare benefits
My.Medicare.gov is designed to help reduce call center operating costs and improve customer service
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My.Medicare.gov – Implementation ScheduleOpen to the State of Indiana in December 2004 on a pilot basis
A phased national rollout began in August 2005 with the addition of claims-based information to be available in Spring/Summer 2006
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My.Medicare.gov – Phased National Rollout
1. ALABAMA2. FLORIDA3. GEORGIA4. KENTUCKY5. MISSISSIPPI6. NORTH CAROLINA7. SOUTH CAROLINA8. TENNESSEE
1, ARKANSAS2. IOWA3. KANSAS4. LOUISIANA5. MISSOURI6. NEBRASKA7. NEW MEXICO8. OKLAHOMA9. TEXAS
1. CONNECTICUT2. MAINE3. MASSACHUSETTS4. NEW HAMPSHIRE5. NEW JERSEY6. NEW YORK7. PUERTO RICO8. RHODE ISLAND9. VERMONT10. VIRGIN ISLANDS
1. COLORADO2. DELAWARE3. WASHINGTON DC4. MARYLAND5. MONTANA6. NORTH DAKOTA7. PENNSYLVANIA8. SOUTH DAKOTA9. UTAH10. VIRGINIA11. WEST VIRGINIA12. WYOMING
1. ILLINOIS2. MICHIGAN3. MINNESOTA4. OHIO5. WISCONSIN
1. ALASKA2. ARIZONA3. CALIFORNIA4. HAWAII5. IDAHO6. NEVADA7. OREGON8. WASHINGTON9. GUAM10. OTHER (AS, NMI)
8/158/15 9/129/12 9/269/26 10/1010/10 10/2410/24 11/711/7
Phase 1Phase 1 Phase 2Phase 2 Phase 3Phase 3 Phase 4Phase 4 Phase 5Phase 5 Phase 6Phase 6
6,313,3716,313,371 8,382,8158,382,815 6,252,4906,252,490 6,729,7076,729,707 5,421,6625,421,662 6,790,701 6,790,701
Live DateLive Date
PopulationPopulation
55 44 6, 7 6, 7 1, 21, 2 3, 83, 8 9, 10 9, 10 RegionsRegions
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My.Medicare.gov Overview – Services Offered (Slide 1 of 2)
Beneficiary registration and password management
Search and obtain Medicare claim information
Beneficiary demographic information, such as:– Beneficiary address
– Entitlement dates
– Medicare Advantage enrollment status
– Deductible status
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My.Medicare.gov Overview – Services Offered (Slide 2 of 2) Beneficiary information on Medicare-covered preventive services
– Cardiovascular Screening– Colorectal Cancer Screening– Diabetes Test– Mammography– Pap Test– Pelvic Exam– Physical– Pneumococcal Polysaccharide (Pneumonia) Vaccine (PPV)– Prostate (Digital Rectal Exam)– Prostate Specific Antigen (PSA) Test
My.Medicare.gov is personalized to only show gender-specific Preventive Services to the beneficiary (i.e., only female-specific preventive services are shown to female beneficiaries)
Future Enhancement includes a personalized Message Center which will inform users when they are eligible to receive their Medicare-covered Preventive Services
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My.Medicare.gov – Infrastructure for PortalAccessible via Medicare.gov or via domain name my.Medicare.gov.
Built on same infrastructure as 1-800 Medicare.
Majority of data pulled from CMS’ multiple mainframe claim systems and stored in a data-mart for fast data retrieval and display
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Beneficiary Internet Adoption Statistics
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Growth in Internet Usage Among Seniors (65+)
Percentage of Senior Citizens (65+) Online:1996 to 2005(with trendline)
0%
5%
10%
15%
20%
25%
30%
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
Sources: Pew Internet & American Life Project; http://www.pewinternet.org The Senior Journal; http://www.seniorjournal.com/News/SeniorStats/5-05-19OldBoomersOnNet.htm
28% of 41 million beneficiaries are online!
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Other Statistics – Beneficiary Self-Service Adoption94% of wired seniors on the Internet have sent or received email
(compared to 91% of all Internet users).
By the end of 2003:– 66% of seniors on the Internet had looked for health or medical information
online at some point.
– 60% of seniors on the Internet had visited government Web sites.
– 20% of seniors on the Internet had done banking on the Internet.
Source: Pew Internet & American Life Project; http://www.pewinternet.org
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Beneficiary Adoption of My.Medicare.gov
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My.Medicare.gov – Total Registration Activity (Indiana Only)
My.Medicare.gov - Total Registration Activity
0
500
1000
1500
2000
2500
12/2
1/200
4
12/2
8/200
4
1/4/
2005
1/11
/200
5
1/18
/200
5
1/25
/200
5
2/1/
2005
2/8/
2005
2/15
/200
5
2/22
/200
5
3/1/
2005
3/8/
2005
3/15
/200
5
3/22
/200
5
3/29
/200
5
4/5/
2005
4/12
/200
5
4/19
/200
5
4/26
/200
5
5/3/
2005
5/10
/200
5
5/17
/200
5
5/24
/200
5
5/31
/200
5
6/7/
2005
6/14
/200
5
6/21
/200
5
6/28
/200
5
7/5/
2005
7/12
/200
5
7/19
/200
5
To
tal #
of
Reg
istr
atio
ns
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My.Medicare.gov – User Logins Over 90 Days
# of My.Medicare.gov Logins per User
83%
9%
4%
2%2%
1 to 5
6 to 10
11 to 20
21 to 30
Over 30
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My.Medicare.gov – Adoption and Cost SavingsUp to 30% of calls (approximately 875,000/month) currently received
through 1-800-MEDICARE could potentially be resolved through My.Medicare.gov
With an average cost of $7 per call to 1-800-MEDICARE, compared to 50 cents to do a similar transaction on My.Medicare.gov, the potential savings is significant.
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My.Medicare.gov Screenshots
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My.Medicare.gov Login Page
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My.Medicare.gov Registration Page
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My.Medicare.gov Home Page
123 Main Street, Indianapolis, IN 45678
12345678901234
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My.Medicare.gov Preventive Services (Male) Page
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My.Medicare.gov Sample Help Page
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