Medicare Advantage
publication date
Finance
Outdated Medicare Marketing Strategies Likely to Cost Health Plans Millions
Close to half of Americans say they will delay Medicare enrollment beyond age 65, yet most health plan marketing efforts halt if patients don't opt in before their 65th birthday.
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Strategy
One-Star Improvement Can Increase Medicare Advantage Revenue by 17%
Improvement in the CMS ranking metric can also boost enrollment by 8-12% as provider-owned plans compete ever more acutely with traditional payers.
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Finance
Medicare Advantage Claims Data Unleashed
Researchers are being granted access to detailed claims data for the large and growing segment of the Medicare beneficiary population.
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Finance
Humana Launches Value-based Hospital Compensation Program
The nationwide value-based initiative will link hospital compensation with quality improvements in three key areas: patient experience, patient safety, and patient outcomes.
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Finance
Hospitals are getting more Medicare Advantage members
More than 3 million people are enrolled in a Medicare Advantage plan that is owned by a hospital system or physician group, which is up more than 20% from 2015, according to an Axios analysis of...
Finance
Under M&A Pressure, System Launches Medicare Advantage Plan
A not-for-profit health system in Florida is launching its own Medicare Advantage plan. The local market has plenty of competition but the system sees the health plan as the right move.
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Finance
Congress’ latest spending bill could bring major changes to Medicare Advantage. Here’s what you need to know
Circle Oct. 15 on your calendar. That’s the first day of Medicare’s annual open enrollment period for 2019 coverage, and there likely will be eye-opening changes next year in private Medicare...
Finance
For Uber and Lyft, Medicare could be the next profitable ride
New rules allowing health insurers to include more supplemental benefits in their Medicare Advantage plans may open the door to millions of ride-sharing trips via Uber or Lyft to the doctor’s...
Strategy
MedPAC Recommends Big Pay Cuts for Freestanding ERs
The American Hospital Association says the recommendation comes as hospitals are already grappling with record-low negative Medicare margins for services.
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Finance
Medicare Advantage Plans to Get 3.4% Pay Increase
The increase doesn’t account for any adjustment for the underlying coding trend, which CMS expects to increase risk scores.
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Innovation
Azar: 'I Am a Big Supporter of Telehealth'
The HHS secretary’s words of support coincide with a number of other promising signs for burgeoning acceptance and application of the technology.
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Finance
One proven way to improve U.S. health care: Expand Medicare Advantage
The percentage of U.S. GDP spent on health care continues to rise, reaching 17.9% in 2017. At the same time, health insurance premiums have increased as much as 60% in the individual market in some...