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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Navigating the Shifting Sands: Deloitte’s 2025 Health Care Outlook and What it Means for Payers
The health care landscape is in constant flux, and predicting future trends is crucial for success. Deloitte's 2025 Health Care Outlook study offers valuable insights into the evolving dynamics of…
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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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New Year, New Rules: Mastering Health Care Price Transparency
Significant changes are set to take place this year that will enhance price transparency in health care, impacting all parties, including providers, payers, and even patients.With national health care spending…
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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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