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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Health Plan Strategy is Key During Open Enrollment Period
For nearly every state, November 1st marked the start of open enrollment season. This was met with mixed responses from some since many subscribers are still adjusting to the news…
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Decoding the New Mental Health Coverage Rules for Private Health Plans
Just a few weeks ago, new legislation was finalized that stands to impact subscriber benefits in the behavioral health arena. This set of regulations is closely aligned with federal legislation,…
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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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Presentation Matters: Telehealth Settings Impact Patient Satisfaction
Since its rise in 2020, it’s safe to say telehealth is now a fixture of many people’s medical care. However, there is a lot of variation in telehealth visits –…
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