Case Study

Meeting Mandatory Deadlines of Required Documents

Gateway Health is a Medical Assistance (Medicaid) managed care plan. It does a major mailing of its Annual Notice of Coverage and Explanation (ANOC) and Explanation of Coverage (EOC) to its customers annually, as required by the Centers for Medicare and Medicaid Services (CMS).

Gateway Printed Promotional Materials


Approvals for these documents are often delayed, causing a rush to complete the distribution of these materials. Plus, as many as 30 variations of the materials are needed due to market differences. Accordingly, Gateway struggled to get the ANOCs and EOCs circulated on time.


Heeter which has deep experience in print management and fulfillment for health firms was able to distribute Gateway’s time-sensitive materials on time for the first time in several years.

This annual print and mailing is very time-sensitive. We rely on our print partners to execute this program on-time and on-budget. We can count on Heeter.
Justin Skerbetz

Director of Marketing, Gateway Health

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