Member: RADAR on Medicare Advantage

In AEP Home Stretch, CMS Grapples With Plan Finder ‘Glitches’

December 5, 2019

Despite a major overhaul to the Medicare Plan Finder (MPF) that was readied in time for the Annual Election Period ending on Dec. 7, multiple reports at press time indicated that the online tool was providing inaccurate cost estimates for users, especially relating to prescription drugs. In a blog post responding to the reports, CMS said it stands by the accuracy of the tool, but it acknowledged that it has been making updates to the MPF as issues are flagged, giving weight to consumer advocates’ concerns that CMS did not allow enough time for testing the tool before rolling it out.

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New Walgreens Deal Gets UnitedHealth Closer to MA Members

December 5, 2019

As Medicare Advantage insurers seek new ways to attract and engage members, MA enrollment leader UnitedHealth Group (UNH) has joined Walgreens in a strategic agreement that will allow its UnitedHealthcare division to showcase its Medicare expertise in select Walgreens store locations. The launch of the in-store centers will coincide with the Open Enrollment Period (OEP), enabling UnitedHealthcare to connect with continuing and new MA members and to potentially enroll others in the partners’ new AARP Medicare Advantage Walgreens plans.

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Ky. Medicaid Alters MCO Roster With Molina, United Awards

December 5, 2019

In a surprising though not earth-shattering turn of events for some, Kentucky named Molina Healthcare, Inc. and UnitedHealthcare as two of the five managed care organizations that will serve 1.3 million Medicaid and CHIP enrollees starting on July 1, 2020. They will replace Anthem, Inc. and Passport Health Plan, while the remaining incumbents Aetna (owned by CVS Health Corp.), CareSource and WellCare Health Plans, Inc. also were selected for the new statewide pacts worth an estimated $7 billion.

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Papa Pals Offer Isolated MA Enrollees Company, Rides

December 5, 2019

Robert Mirsky, M.D., chief medical officer for Medicare at Aetna, has a lofty goal in mind for seniors on the insurer’s Medicare Advantage plans. The health insurer wants to do more than support seniors living in their homes. “It goes beyond [aging in place], to thriving in place,” he says. That’s why Aetna is partnering with Miami, Fla.-based Papa to offer the company’s “grandkid-on-demand” services to the health insurer’s MA members for plans that start Jan. 1, 2020.

Aetna and other insurers are tackling isolation among seniors, driven by issues from lack of mobility to vision or hearing loss. That isolation means that seniors aren’t engaging with the communities where they live. And Mirsky points out that multiple generations no longer live together in the same home — or even nearby — and that contributes to seniors’ loneliness, which compounds their physical and mental challenges.

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Top 25 Medicare Advantage Insurers as of October 2019, With Year-Over-Year Change

December 5, 2019

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