From Medicare Advantage News - In an effort to encourage beneficiaries to be more engaged with their primary care providers and make better decisions about their own health, Medicaid managed care organizations are equipping members with tools ranging from rewards and health savings account-like funds to smartphones. And according to several plans presenting at the Medicaid Health Plans of America (MHPA) annual conference, held Sept. 21-23 in Washington, D.C., the initiatives they’ve used to test such strategies are yielding reductions in emergency room (ER) use and improvements in preventive services. Read more
From Medicare Advantage News - The first phase of a new provider directory accuracy pilot conducted by CMS’s Medicare Drug & Health Plan Contract Administration Group (MCAG) has turned up some concerning findings, namely the “excessive number” of providers listed in online directories that aren’t at those locations, according to officials who spoke at the Medicare Advantage and Prescription Drug Plan fall conference on Sept. 8. Read more
From Medicare Advantage News - After a surprising policy suspension that gave sanctioned plans like Cigna Corp. a break on their star quality ratings, CMS now is considering several adjustments to the star ratings program to account for sanctions and other actions, and floated three potential changes by attendees at its Medicare Advantage and Part D fall conference on Sept. 8. At the same time, the agency has made a series of tweaks to the… Read more
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