Healthpayer Intelligence Medicare Advantage
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Medicare Advantage News and Resources for Healthcare
(8 days ago) WEBMedicare Advantage plan payments will increase by 3.7 percent or $16 billion in 2025, CMS proposed in the Calendar Year (CY) 2025 Advance Notice for the Medicare Advantage and Medicare Part D
https://healthpayerintelligence.com/tag/medicare-advantage
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Medicare Advantage Quality Bonus Program Needs Reform, …
(7 days ago) WEBThe average star rating across Medicare Advantage contracts increased from 3.86 in 2014 to 4.37 in 2022, when 68.4 percent of contracts had a rating of 4.0 or …
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Medicare Advantage Plans Increase, Improve Quality Over FFS Plans
(9 days ago) WEBIn addition to a larger uptake, Medicare Advantage plans have seen greater cost savings in the past year. With monthly premiums falling $3.87 and Part D premiums …
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Medicare Advantage Faces Sicker Population, Lower Payments in …
(Just Now) WEBNovember 09, 2020 - Medicare Advantage plans may face a sicker population and lower payments in 2021, a recent Avalere report warned. Avalere used Medicare Advantage …
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CMS issues AI guidance for Medicare Advantage plans
(Just Now) WEBAlgorithms and artificial intelligence-powered software tools can be used to support Medicare Advantage plans in making coverage decisions for members, but …
https://www.beckerspayer.com/policy-updates/cms-issues-ai-guidance-for-medicare-advantage-plans.html
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HealthPayerIntelligence LinkedIn
(7 days ago) WEBhealth insurance, health payer, value-based care, Healthcare Insurance News, and Value-Based Contracting Around 42 percent of Medicare Advantage plans received 2024 …
https://www.linkedin.com/showcase/healthpayerintelligence
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Health Payer Intelligence: Medicare Advantage Evaluation Requires
(1 days ago) WEBBy Thomas Beaton February 23, 2018 - The growth of the Medicare Advantage (MA) market requires the release of more claims data to evaluate the commercial and …
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Medicare Advantage 2022 Spotlight: First Look KFF
(6 days ago) WEBFor 2022, the average Medicare beneficiary has access to 39 Medicare Advantage plans, the largest number of options available in the last decade, and can …
https://www.kff.org/medicare/issue-brief/medicare-advantage-2022-spotlight-first-look/
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Health care quality metrics higher in Medicare Advantage plans: …
(6 days ago) WEBMedicare Advantage PPO clinical quality performance was also better than traditional Medicare, but the differences were narrower. reports Healthpayer …
https://www.businessinsurance.com/article/20230405/STORY/912356614
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HealthPayerIntelligence on LinkedIn: CMS Proposes 3.7% Increase …
(5 days ago) WEBWith new Medicare Advantage marketing regulations in place for 2024, payers must work with their marketing teams and establish proactive oversight programs to ensure …
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What’s new with Medicare Advantage – and what you need
(4 days ago) WEBMedicare Advantage participation continues to increase. Released this July, the report states more than one in three Medicare beneficiaries are currently enrolled in …
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Medicare Advantage unrest, Change Healthcare fallout and more …
(4 days ago) WEBHumana’s net income fell to $741 million in the quarter from $1.2 billion in the same time last year because of surging medical expenses. The insurer, the second …
Category: Medical Show Health
Blog: The impact of delayed and deferred care - naviHealth
(1 days ago) WEBFewer than 1.5 million total Medicare Advantage (MA) claims were filed in April 2020, a 66% drop from nearly 4 million in April 2019, according to a report in …
https://navihealth.com/essentialinsights/the-impact-of-delayed-and-deferred-care/
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HealthPayerIntelligence: At-Home Testing Coverage for Medicare
(8 days ago) WEBWhen CMS announced that it would require commercial health plans to cover over-the-counter coronavirus tests, the announcement raised a common outcry …
https://achp.org/clip-healthpayerintelligence-at-home-testing-coverage-for-medicare-beneficiaries/
Category: Coronavirus Show Health
Medicare Advantage two-midnight rule contributing to higher …
(9 days ago) WEBAn analysis of Medicare Advantage encounters from 2023 – before the rule was expanded to those patients – found that 22.3% were held in observation status for …
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Patients With Social and Clinical Risk and Clinician Inclusion in
(Just Now) WEBThe Medicare Advantage (MA) program is a private insurance alternative to the traditional Medicare (TM) program that has been expanding rapidly in the past …
https://jamanetwork.com/journals/jama-health-forum/fullarticle/2807454
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MA health assessments contribute to inflated coding intensity: …
(Just Now) WEBThe assessments were linked to higher spending. Different scenarios that restricted the risk-score impact of the health risk assessments were associated with $4.5 …
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Beyond Traditional Medicare: The Rise of Medicare Advantage …
(7 days ago) WEBMedicare Advantage Plans have been at the forefront of incorporating technology and innovation into healthcare delivery. Many of these plans offer telehealth …
https://techbullion.com/beyond-traditional-medicare-the-rise-of-medicare-advantage-plans-in-2025/
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Measuring Primary Care Spending in the US by State
(Just Now) WEBAll 10 provided estimates for commercial payers, and some provided estimates for Medicaid, Medicare Advantage, and Medicare Fee-for-Service . Oregon, Colorado, …
https://jamanetwork.com/journals/jama-health-forum/fullarticle/2818721
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What Health Leaders Anticipate Most from AHIP 2024 - AHIP
(5 days ago) WEBPublished May 16, 2024 • by AHIP. AHIP 2024 is taking over the Wynn Las Vegas, June 11-13, 2024, and hundreds of America’s most influential policy leaders, …
https://www.ahip.org/news/articles/what-health-leaders-anticipate-most-from-ahip-2024
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Mixed reactions to Medicare Part D in the FEHB
(9 days ago) WEBThe Inflation Reduction Act redesigned the Medicare Part D benefit in the following ways: Starting in 2023, the IRA sets a $35 cap on the cost of insulin products …
https://www.govexec.com/pay-benefits/2024/05/mixed-reactions-medicare-part-d-fehb/396630/
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Medicare go-broke date extended to 2036, but warning bells …
(3 days ago) WEBDive Brief: A key trust fund underpinning the massive Medicare program has a new insolvency date: 2036, according to a new report from the Medicare trustees. …
https://www.healthcaredive.com/news/medicare-insolvency-deadline-trustees-2024-report/715342/
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Medicare and Social Security go-broke dates pushed back AP News
(6 days ago) WEBThe go-broke dates for Medicare and Social Security have been pushed back as an improving economy has contributed to changed projected depletion dates, …
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Great Plains Health to end contract with Medicare Advantage plans
(8 days ago) WEBconsumers. health insurance. health plans. insurance. Medicare Advantage. Great Plains Health said their mission is to put the patient first and Medicare …
https://www.healthleadersmedia.com/payer/great-plains-health-end-contract-medicare-advantage-plans
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Concerns about mental health are higher than during COVID-19
(1 days ago) WEBBy Kelsey Waddill. May 09, 2024 - Americans’ concerns about mental health have increased since the coronavirus pandemic, according to a survey from CVS Health. …
Category: Mental health, Coronavirus Show Health
Humana CEO Bruce Broussard to depart July 1 Healthcare Dive
(2 days ago) WEBAt that time, current Chief Operating Officer Jim Rechtin will take the reins of the health insurer, which is struggling with challenges in Medicare Advantage. …
https://www.healthcaredive.com/news/humana-ceo-transition-timeline-broussard-rechtin/716014/
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