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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Leveraging Your NCQA Data to Enhance Your Bottom Line
The National Committee for Quality Assurance (NCQA) published its 2024 health plan ratings, prompting health care payers and insurance companies to take a good hard look at the results and…
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Preparing for 2025: Medicare Changes and Increased Premiums
Medicare is set to undergo significant changes in 2025 that will impact all parties involved in these plans. Whether you are an existing beneficiary, looking to enroll, or a provider…
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