Maximizing Medicare Advantage Bid Budget

Bids for Medicare Advantage and standalone prescription drug plans have been submitted for the 2021 plan year. This was no small undertaking for health plans given the regulation changes from CMS and the COVID-19 pandemic. Unfortunately, the work does not stop as it’s...

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News Summaries: 09.09.2018

News Summaries: 09.09.2018

PBS: Sort Out Medicare Questions Before November:As open enrollment and the midterm elections approach, it is important to get the right answers to the questions concerning Medicare and health ahead of time. “Historically, nearly everyone has...

News Summaries: 08.26.18

News Summaries: 08.26.18

Fortune: Walmart and Anthem partner to reach Medicare Advantage patients: Walmart and Anthem announce a new program with the belief that they can make healthcare more accessible and affordable. “We believe that programs like this can make a...

News Summaries: 08.19.18

News Summaries: 08.19.18

Health Affairs: Step therapy’s introduction and concerns-“This is one of the more significant actions the administration has taken on drug pricing to date,” though there are at least three significant concerns with the proposal. These issues are...

Using Telehealth in Medicare Advantage Plans

Using Telehealth in Medicare Advantage Plans

The challenge for Medicare Advantage plans is to educate members on how, when and where to use telehealth. A $40-$50 telehealth visit, versus an in-person visit for a routine procedure, could mean millions in savings for a plan. And, it will add up...