Radar on Medicare Advantage

MA Plans Test New Flexibilities Targeted to Diabetic Members

From lowering cost sharing on select services to participating in the new Part D insulin model, Medicare Advantage insurers are incorporating new benefit flexibilities into their overall management of diabetes, whic...
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SCAN Considers Caregiver Hesitancy in Vaccine Efforts

As supply and scheduling issues have created slowdowns in COVID-19 vaccinations across the country, Medicare Advantage insurers are naturally concerned about their vulnerable senior members and are taking part in nu...
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Social Needs During Pandemic Highlight Equity Opportunities

Long before the COVID-19 pandemic broke out, Medicaid managed care organizations were working with limited revenue streams and navigating across various waivers to address social determinants of health (SDOH). But t...
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News Briefs

✦ Federal Medicaid officials this week issued letters to Arkansas and New Hampshire informing them of the Biden administration’s formal revocation of their “community engagement” waivers. The Supreme Court...
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Likelihood of Part D Revamp Increases With COVID Relief Bill

As Congress is likely to look for offsets through future budget reconciliation measures and new reports spotlight the soaring cost of prescription drugs in Medicare Part D, industry experts agree that a legislative ...
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OEP Tactics Include COVID Comms, Direct Plan Comparisons

With reports of low Medicare Advantage switching during the recent Annual Election Period (AEP) and major national carriers capturing two-thirds of new enrollment (see infographic, p. 4), smaller regional players ar...
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MA Observers Ponder Consumer Behavior During Atypical AEP

While every Medicare Annual Election Period (AEP) is different, experts agree that the most recent open enrollment was a wild one, due in large part to the ongoing COVID-19 pandemic and the general election. But the...
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Medicare Advantage Enrollment Soars Past 26 Million in Latest AEP

Approximately 2.4 million people enrolled in a Medicare Advantage plan from February 2020 to February 2021, bringing the total MA population to 26.3 million medical lives. That’s a 9.9% year-over-year increase, ac...
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Becerra Testimony Hints At Hard Line on Drug Prices, Medicare Advantage Payments

As policymakers consider proposals to revamp Medicare Part D, HHS secretary nominee and California Attorney General Xavier Becerra (D) during his Senate confirmation hearings last week vowed to make reducing the cos...
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News Briefs

✦ In its first earnings report released as a publicly traded company, Clover Health on March 1 said it ended 2020 with more than 58,000 Medicare members, generated more than $670 million in revenue for the full y...
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