Healthmine Medicare Advantage Rules

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Changes to Medicare Advantage Rewards & Incentives - Healt…

(5 days ago) People also askHow will CMS' proposed rule affect Medicare Advantage?For others, the proposals will so dramatically alter your strategy that you may need to start planning immediately to adapt. Feedback is due to CMS by January 5, 2024, and will shape the entire future of Medicare Advantage. CMS estimates that no more than 2,000 people will read this Proposed Rule.What’s in CMS’ 2025 Proposed Rule for Medicare Advantagehealthmine.comWhat is the 2025 Medicare Advantage & Part D rule?CMS issued its final 2025 Medicare Advantage and Part D rule April 4, setting new standards around marketing, broker payments, and prior authorization. Here are 11 things to know about CMS' final rule: CMS set a fixed amount that agents and brokers can be compensated by MA plans, regardless of the plan a beneficiary enrolls in.CMS finalizes 2025 Medicare Advantage rule: 11 key updatesbeckerspayer.comWhat is the 2025 Medicare Advantage proposed rule?On November 6, the Centers for Medicare & Medicaid Services (CMS) released the 2025 Medicare Advantage (MA) Proposed Rule to protect Medicare beneficiaries from predatory marketing, promote competition and increase access to mental healthcare services.What’s in CMS’ 2025 Proposed Rule for Medicare Advantagehealthmine.comWhat's new in 2022 Medicare Advantage & Part D final rule?In early 2021, the Centers for Medicare & Medicaid Services (CMS) released the Contract Year 2022 Medicare Advantage (MA) and Part D Final Rule with sweeping changes to reward and incentive programs for MA plans that mostly flew under the radar.FAQs on New CMS Rules for Rewards & Incentives in Medicare - Heal…healthmine.comFeedbackHealthMinehttps://www.healthmine.com/resources/medicareChanges to Medicare Advantage Rewards & IncentivesBig Changes to Medicare Advantage Rewards & Incentives Regulations in 2022. Health equity is a top priority for most healthcare delivery organizations, with 58% of health professionals citing this as number one among six priorities. According to a July 2021 poll conducted by the Institute for Healthcare … See more

https://www.healthmine.com/resources/medicare-advantage-rewards-incentives-regulations-changes-2022#:~:text=Big%20Changes%20to%20Medicare%20Advantage%20Rewards%20%26%20Incentives,Your%20Organization%205%20Time%20is%20of%20The%20Essence

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CMS’ Proposed Rule: What You Need to Know

(6 days ago) WEBCMS’ Proposed Rule: What You Need to Know. By. Melissa Smith. The Centers for Medicare & Medicaid Services (CMS) issued a slew of high-impact proposals impacting Medicare Advantage (MA) and Star …

https://www.healthmine.com/resources/cms-proposed-rule-what-you-need-to-know

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2024 Medicare Advantage and Part D Final Rule (CMS …

(7 days ago) WEBBackground. On April 5, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that revises the Medicare Advantage (MA or Part C), Medicare …

https://www.cms.gov/newsroom/fact-sheets/2024-medicare-advantage-and-part-d-final-rule-cms-4201-f

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CMS finalizes 2025 Medicare Advantage rule: 11 key updates

(6 days ago) WEBCMS issued its final 2025 Medicare Advantage and Part D rule April 4, setting new standards around marketing, broker payments, and prior authorization. Here …

https://www.beckerspayer.com/policy-updates/cms-finalizes-2025-medicare-advantage-rule-11-key-updates.html

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Healthmine on LinkedIn: What’s in CMS’ 2025 Proposed …

(Just Now) WEBLast week, Centers for Medicare & Medicaid Services released the 2025 Medicare Advantage Proposed Rule. It includes significant changes for Dual Eligible Special …

https://www.linkedin.com/posts/healthmine_whats-in-cms-2025-proposed-rule-for-medicare-activity-7129873662899351552-sPbT

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CMS releases FAQs on 2024 Medicare Advantage rule

(1 days ago) WEBThe Centers for Medicare & Medicaid Services yesterday released FAQs clarifying coverage criteria and utilization management requirements for Medicare …

https://www.aha.org/news/headline/2024-02-07-cms-releases-faqs-2024-medicare-advantage-rule

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Contract Year 2025 Medicare Advantage and Part D Final …

(1 days ago) WEBThe rule will lower the Medicare Advantage D-SNP look-alike threshold from 80% to 70% in 2025 and to 60% in 2026. This policy will help to address the continued …

https://www.cms.gov/newsroom/fact-sheets/contract-year-2025-medicare-advantage-and-part-d-final-rule-cms-4205-f

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Biden-Harris Administration Finalizes Rule Expanding …

(6 days ago) WEBThe rule also requires Medicare Advantage plans to send a mid-year, personalized communication to their enrollees about accessing unused supplemental …

https://www.hhs.gov/about/news/2024/04/04/biden-harris-administration-finalizes-rule-expanding-access-care-increasing-protections-people-medicare-advantage-medicare-part-d.html

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Healthmine on LinkedIn: What’s in CMS’ 2025 Proposed …

(Just Now) WEBDon’t lose track of the Jan. 5 deadline for sharing feedback with Centers for Medicare & Medicaid Services on the 2025 Medicare Advantage Proposed Rule. This latest round …

https://www.linkedin.com/posts/healthmine_whats-in-cms-2025-proposed-rule-for-medicare-activity-7142524964531806208-KHDk

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Medicare Advantage two-midnight rule contributing to higher …

(9 days ago) WEBThe Centers for Medicare and Medicaid Services' January expansion of the two-midnight rule to include Medicare Advantage plans has contributed to higher …

https://www.healthcarefinancenews.com/news/medicare-advantage-two-midnight-rule-contributing-higher-outpatient-revenues

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HealthMine is a technology-enabled member engagement …

(4 days ago) WEBMulti-State Medicare Advantage Blues Plan—Path to 4 Stars A multi-state MA plan used HealthMine’s full suite of services to actively engage, track, and monitor the quality …

https://info.healthmine.com/hubfs/HealthMine%20Overview%20Brochure%20-%20MAR2021.pdf?hsLang=en

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Rewards and Incentives Rule Has Compliance, Stars Implications

(5 days ago) WEBRewards and Incentives Rule Has Compliance, Stars Implications. Reprinted with AIS Health permission from the December 16, 2021, issue of RADAR on …

https://www.healthscape.com/insights/rewards-and-incentives-rule/

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Improve Quality Performance Through Technology-Enabled

(7 days ago) WEBHealthMine’s ability to deliver a best-in-class member experience and personalized member engagement and rewards through scalable, efficient digital solutions is why …

https://info.healthmine.com/hubfs/HealthMine%20Overview_JAN2021.pdf

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Healthy Blue Rewards - Arkansas Blue Cross and Blue Shield

(3 days ago) WEBArkansas Blue Medicare Members Call. 800-960-6360. Registration is required to participate. Visit ArkansasHealthyBlue.HealthMine.com to register and find …

https://www.arkansasbluecross.com/medicare/healthy-blue-rewards

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Medicare Advantage Plan Beneficiary Insights: Closing Gaps

(5 days ago) WEBand confidence in the future of Medicare coverage. This survey follows up HealthMine’s 2018-19 Medicare Advantage survey to explore how beneficiaries might have changed …

https://info.healthmine.com/hubfs/HealthMine-Report-Personalized-Experience_11-18.pdf

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Understanding Medicare Advantage Plans

(2 days ago) WEBVisit Medicare.gov, or call 1-800-MEDICARE (1-800-633-4227) to get the most current information. TTY users can call 1-877-486-2048. “Medicare Rights & Protections” isn’t a …

https://www.medicare.gov/Pubs/pdf/12026-Understanding-Medicare-Advantage-Plans.pdf

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Need Help HCSC - Healthmine

(3 days ago) WEBThe Healthy Activity Portal, accessed by going to www.BlueRewardsIL.com , is a website owned and operated by Healthmine, Inc., an independent company that provides digital …

https://www.bcbsil.healthmine.com/need-help

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CMS Roundup (May. 17, 2024) CMS - Centers for Medicare

(5 days ago) WEBCMS Roundup (May. 17, 2024) Today, the Centers for Medicare & Medicaid Services (CMS) provides an at-a-glance summary of news from around the agency. May …

https://www.cms.gov/newsroom/cms-round-up/cms-roundup-may-17-2024

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Appeals court rejects city’s bid to switch municipal retirees to

(8 days ago) WEBA state appeals court upheld a previous ruling barring New York City from transferring 250,000 municipal retirees to Medicare Advantage plans, marking another …

https://www.crainsnewyork.com/health-pulse/appeals-court-rejects-new-york-citys-bid-switch-municipal-retirees-medicare-advantage

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Medicare Part D In 2024: A Costly Prescription For Retirees? - Forbes

(Just Now) WEBBut starting in 2025, they’ll have to pay 60% or 80%, depending on some rules. The rise in the cost of Part D prescription drug plans will vary from state to state. …

https://www.forbes.com/sites/forbesfinancecouncil/2024/05/17/medicare-part-d-in-2024-a-costly-prescription-for-retirees/

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How IRMAA Can Increase Your Medicare Premiums In Retirement

(9 days ago) WEBSimilarly, the higher your IRMAA surcharges will be, the more valuable Medicare surtax planning will be for you. In 2024, the IRMAA for single taxpayers with …

https://www.forbes.com/sites/davidrae/2024/05/19/how-irmaa-can-increase-your-medicare-premiums-in-retirement/

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Prepare Star Ratings Work Plans for the Health Equity Index

(6 days ago) WEBThe Star Rating will be rounded to the nearest half Star to create the final Star Rating. Continuing the example provided by CMS, a reward of 0.289 will be applied to …

https://www.healthmine.com/resources/health-equity-index-star-ratings-impact

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Bolstering Chronic Care through Medicare Physician Payment

(3 days ago) WEBCongress has intervened twice, however, to enact one-year A-APM Incentive extensions. For each of payment years 2019 through 2024, these payments amounted to five …

https://www.finance.senate.gov/imo/media/doc/051723_phys_payment_cc_white_paper.pdf

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