Final Rate Notice Projected 3.4% Payment IncreaseFrom Radar on Medicare Advantage - The final 2019 payment notice and Call Letter for Medicare Advantage and Part D plans projected a sizable payment increase averaging 3.40% and finalized various proposals aimed at granting MA sponsors greater flexibility to meet the needs of individual enrollees. CMS initially projected that plan payments would improve by 1.84% on average in the draft Call Letter released Feb. 1. Read more
Lumeris Aims to Drive Transition to Value-Based CareFrom Radar on Medicare Advantage - As the health care landscape transitions to value-based care and Medicare Advantage enrollment reaches new highs, new joint ventures have popped up as providers, traditional insurers and other new entrants position themselves to launch MA products. Lumeris, a subsidiary of Essence Group Holding Corp., aims to be one of the catalysts behind the transition from fee for service to value-based care. Its recent partnership with BayCare Health System enabled the not-for-profit… Read more
Cardinal, UHC Highlight Ways to Expand Housing Breaks for Medicaid MembersFrom Radar on Medicare Advantage - As housing becomes an increasingly critical piece of insurers’ integrated, patient-centered care strategies, Cardinal Innovations Healthcare and UnitedHealth Group subsidiary UnitedHealthcare Community & State have been using housing to drive member engagement and health outcomes. Cardinal Innovations, which operates a behavioral health carve-out plan in North Carolina, receives grants from the U.S. Dept. of Housing and Urban Development to fund its housing programs. Read more
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