Transforming Youth Health Care: A Call to Action for Payers
In a concerted effort to address the multifaceted challenges of providing youth health care in the United States, the Bipartisan Policy Center (BPC) released its comprehensive report, "Health Care Redesign…
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Crafting Satisfied Member Experiences That Boost Your Bottom Line
The endless hum of data analytics and the crunch of financial projections are familiar to any health insurance executive. Most health insurance executives are constantly seeking that elusive balance: delivering…
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The True Financial Impact of Medicare Advantage Health Risk Assessments Revealed
A study published by Health Affairs has brought to light the significant financial implications of Health Risk Assessments (HRAs) within the Medicare Advantage (MA) program. The research investigated the impact…
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Seven Ways Payers Can Leverage Community Health Workers to Improve Cost Efficiency and Patient Outcomes
Community health workers have long been part of the public health field. Unfortunately, their versatility and role ambiguity have led them to be misunderstood (and sometimes also overlooked) compared to…
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Should Your Health Plan Cover GLP-1 Agonists?
With the new year upon us, many people are focused on weight loss and weight management. This is an apt resolution for many, as the Centers for Disease Control and…
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Medicare Advantage Changes Its Quality Score Algorithm
Are you among the many health insurers dissatisfied with your most recent Medicare Advantage (MA) quality score? Unfavorable evaluations of customer support centers were the leading reason many health insurers…
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