Healthpayer Intelligence Medicare Advantage

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Medicare Advantage News and Resources for Healthcare

(8 days ago) WebMedicare Advantage enrollment increased by 1.7 million beneficiaries. March 11, 2024 by Victoria Bailey. Medicare Advantage enrollment has increased by 1.7 million beneficiaries since 2023, with

https://healthpayerintelligence.com/tag/medicare-advantage

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Health Plan Policy, Strategy, and Innovation News and Insights

(6 days ago) WebStay informed on health payer trends, policies, and strategies. Humana added 50,000 individual Medicare Advantage beneficiaries and reported a net income …

https://healthpayerintelligence.com/

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AMA: 79% of Medicare Advantage Markets Have Little Competition

(1 days ago) WebAccording to the survey, Medicare Advantage market concentration has declined gradually since 2017, but the markets were still highly concentrated in 2021. …

https://healthpayerintelligence.com/news/ama-79-of-medicare-advantage-markets-have-little-competition

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HHS Seeks Stakeholder Input to Improve Medicare Advantage …

(1 days ago) WebBy Victoria Bailey. January 29, 2024 - HHS has issued a request for information (RFI) to help improve data-sharing and transparency in the Medicare Advantage. Over half of all …

https://healthpayerintelligence.com/news/hhs-seeks-stakeholder-input-to-improve-medicare-advantage-transparency

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Prescription Coverage Draws Beneficiaries to Medicare Advantage

(8 days ago) WebDecember 09, 2020 - Many Medicare beneficiaries are transitioning from another Medicare plan to Medicare Advantage, with the migration driven in part by the opportunity for …

https://www.healthpayerintelligence.com/news/prescription-coverage-draws-beneficiaries-to-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 …

https://healthpayerintelligence.com/news/medicare-advantage-quality-bonus-program-needs-reform-report-finds

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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 …

https://www.healthpayerintelligence.com/news/medicare-advantage-plans-increase-improve-quality-over-ffs-plans

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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 …

https://www.healthpayerintelligence.com/news/medicare-advantage-faces-sicker-population-lower-payments-in-2021

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High Health Insurance Literacy Tied to Medicare Advantage …

(9 days ago) WebMedicare Advantage beneficiaries with high health insurance literacy were also more likely to enroll in plans that had a maximum out-of-pocket limit of less than …

https://healthpayerintelligence.com/news/high-health-insurance-literacy-tied-to-medicare-advantage-enrollment

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HealthPayerIntelligence News - HealthPayerIntelligence

(Just Now) WebHumana added 50,000 individual Medicare Advantage beneficiaries and reported a net income of $741 million in the first quarter of 2024. The payer reported …

https://healthpayerintelligence.com/news

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Humana reports Medicare Advantage growth, income gains in Q1 …

(5 days ago) WebBy Victoria Bailey. April 25, 2024 - Humana added 50,000 individual Medicare Advantage beneficiaries and reported a net income of $741 million in the first quarter of 2024. The …

https://healthpayerintelligence.com/news/humana-reports-medicare-advantage-growth-income-gains-in-q1-2024

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Features - HealthPayerIntelligence

(4 days ago) WebWith Proper Use, Artificial Intelligence Improves Health Plan Operations. While artificial intelligence is far from a new concept, the healthcare industry has recently latched on to …

https://healthpayerintelligence.com/features

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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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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 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 …

https://healthcostinstitute.org/hcci-originals-dropdown/all-hcci-reports/health-payer-intelligence-medicare-advantage-evaluation-requires-transparent-claims-data

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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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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 …

https://navihealth.com/essentialinsights/whats-new-with-medicare-advantage-and-what-you-need-to-know-during-open-enrollment/

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FDA approval of Wegovy expands coverage access for Medicare …

(4 days ago) WebBy Victoria Bailey. April 24, 2024 - Following new FDA approvals for Wegovy, one in four Medicare beneficiaries with obesity may gain coverage access to the drug to reduce the …

https://healthpayerintelligence.com/news/fda-approval-of-wegovy-expands-coverage-access-for-medicare-beneficiaries

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About Us - HealthPayerIntelligence

(4 days ago) WebIn addition to writing and editing for HealthPayerIntelligence, she is involved in creating Xtelligent’s video and other media content. She can be reached at …

https://healthpayerintelligence.com/about-us

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How Medicare Advantage plans use AI to cut off care for seniors

(2 days ago) WebRelated: Medicare Advantage insurers will score $2 billion gift thanks to limited audits. The final ruling, issued on Nov. 25, found instead that it was the insurer …

https://www.statnews.com/2023/03/13/medicare-advantage-plans-denial-artificial-intelligence/

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HealthPayerIntelligence: At-Home Testing Coverage for Medicare

(8 days ago) Webby Kelsey Waddill, HealthPayerIntelligence. In the first quarter of 2022, payers witnessed significant changes in at-home coronavirus testing coverage with …

https://achp.org/clip-healthpayerintelligence-at-home-testing-coverage-for-medicare-beneficiaries/

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CVS acquires Medicare Advantage broker Hella Health

(5 days ago) WebCVS Health has acquired startup Medicare Advantage broker Hella Health, according to a LinkedIn post from Hella’s chief executive officer. The acquisition will add …

https://www.healthcaredive.com/news/cvs-acquires-medicare-advantage-broker-hella-health/714816/

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Medicare Advantage networks should adapt, City of Hope exec says

(2 days ago) WebIn surgical oncology, your 30-day mortality rate for stomach and liver surgery is 50% higher in Medicare Advantage than in traditional Medicare. It's a 100% higher 30 …

https://www.modernhealthcare.com/providers/medicare-advantage-pay-city-of-hope-harlan-levine

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CVS Health chops 2024 forecast as cost struggles with Medicare

(5 days ago) WebCVS Health missed first-quarter expectations and chopped its 2024 outlook more than a dollar below Wall Street’s forecast. Shares of the health care giant plunged …

https://apnews.com/article/cvs-health-medicare-advantage-costs-1dcdd232c1648f86a2cfc87dc09ab72f

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CVS acquires Medicare Advantage broker Hella Health

(4 days ago) WebCVS Health has acquired New York-based Medicare Advantage broker Hella Health for an undisclosed sum, according to a LinkedIn post by Hella Health founder and …

https://www.healthcarefinancenews.com/news/cvs-acquires-medicare-advantage-broker-hella-health

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How do Medicare Advantage insurers craft population-specific …

(8 days ago) WebMCBS includes data for all Medicare beneficiaries, including Medicare Advantage members. Health plans can use the survey results to gain insights into …

https://healthpayerintelligence.com/features/how-do-medicare-advantage-insurers-craft-population-specific-health-plans

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The Digital Advantage: Augmenting the Healthcare Customer …

(5 days ago) WebMedicare’s older generations typically value clear instructions, support, and easy access to human representatives and may require straightforward solutions (i.e. …

https://hitconsultant.net/2024/04/29/the-digital-advantage-augmenting-the-healthcare-customer-experience/

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Unpacking CMS’s 2025 DSNP Changes: Considerations for …

(6 days ago) WebAs part of its 2025 Medicare Advantage and Part D Final Rule (the Final Rule), the Centers for Medicare & Medicaid Services (CMS) made a number of …

https://www.jdsupra.com/legalnews/unpacking-cms-s-2025-dsnp-changes-9432868/

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CVS slashes 2024 outlook — again — as Medicare seniors drive …

(7 days ago) WebCVS brought in revenue of $88.4 billion in the quarter, up 4% year over year but significantly below analysts’ expectations. Net income was slashed by almost half …

https://www.healthcaredive.com/news/cvs-2024-forecast-cut-medicare-inpatient-q1/714807/

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Cigna writes down VillageMD investment amid shrinking value

(7 days ago) WebBut on Thursday, Cigna wrote off $1.8 billion of that investment, citing VillageMD’s lackluster growth after its majority owner Walgreens elected to close …

https://www.healthcaredive.com/news/cigna-villagemd-writedown-walgreens-q1-2024/714966/

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