Navigating Government Program Requirements for HRA

For government-sponsored health plans, the health risk assessment (HRA) is not only a critical tool to identify a member’s needs through risk stratification but a program requirement. Completion rates for HRAs are reported or counted in various quality rating...

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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...

News Summary: 8.10.18

News Summary: 8.10.18

HHS: HHS allows Medicare price negotiations based on Trump Administration proposal: “By allowing Medicare Advantage plans to negotiate for physician-administered drugs like private-sector insurers already do, we can drive down prices for some of...