Medicare Advantage and Part D

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

Medicare Advantage & Part D Blog

By Lauren Flynn Kelly - November 14, 2016
Following the Nov. 8 election of business mogul Donald J. Trump to the presidency, insurers, patients, policy experts, providers and taxpayers alike are scratching their heads as to what this means for health care in the U.S. Trump’s health care reform proposal centered largely on “repeal and...
By Lauren Flynn Kelly - October 13, 2016
Medicare Advantage (MA) and Part D plan sponsors on Oct. 1 were allowed to begin marketing new and existing products for the 2017 Annual Election Period (AEP) that begins on Oct. 15 and runs through Dec. 7. Competition appears to be particularly fierce in western Pennsylvania, judging from the slew...
By Lauren Flynn Kelly - September 26, 2016
Advanced data, analytics and social determinants of health were just a few of the running themes at the Medicaid Health Plans of America conference, which took place in Washington, D.C., from Sept. 21-23. Here’s what some of the speakers had to say on the importance of these elements in providing...

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