Radar on Medicare Advantage

Thousands Join Medicaid Rolls as Pandemic Causes Unemployment to Spike

As the novel coronavirus continues to touch nearly every aspect of American life, the U.S. unemployment rate hit 14.7% in April 2020, a level not seen since the Great Depression. And the speed at which job losses ar...
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COVID-19 Posed New Challenges for 2021 MA, Part D Bids

There are always uncertainties when it comes to projecting plan costs for the year ahead, but Medicare Advantage and Part D organizations in the most recent bid cycle faced a particularly unpredictable set of circum...
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CMS Finalizes Telehealth, ESRD, Star Ratings, Reinsurance Policies for 2021

Finalizing a series of policies just before the 2021 bid deadline, CMS on May 22 said it will address remaining proposals from its February proposed rule at a later date (RMA 2/20/20, p. 1). CMS finalized a prop...
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Unknowns Remain Regarding Part D Senior Savings Model

Months after the Part D Senior Savings Model was unveiled, the Trump administration on May 26 held a press conference in the White House Rose Garden to share what reporters and industry observers hoped would be more...
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Passport Loses Ky. Medicaid Rebid; Evolent Seeks Answers

After a reviewing a second round of bids in an attempt to “ensure a fair and transparent process,” Kentucky Gov. Andy Beshear (D) and the Cabinet for Health and Family Services (CHFS) on May 29 named the same fi...
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Banner Health Deploys App-Based Loneliness Interventions

When Banner Health Network (BHN) was vying for a spot in Arizona’s revamped $14 billion managed Medicaid program, the integrated health care system knew it needed something innovative to meet the state’s expecta...
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News Briefs

✦ America’s Health Insurance Plans and other leading health care organizations are urging Congress to further increase funding for Medicaid. In a June 2 letter to House and Senate leaders, the groups praised C...
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Heroes Act Includes Medicaid Increase, MA Risk Protection

House Democrats’ latest pandemic-relief package, the Heroes Act (H.R. 6800), has been noted in the mainstream media for its $3 trillion price tag, the uphill battle it faces in the Senate, and a string of items it...
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VNSNY CHOICE Navigates Vital Home Care at COVID Epicenter

While some cities and states make moves to safely “reopen” as new COVID-19 cases taper off, New York City remains very much the epicenter of the pandemic in the U.S. And as health plans around the country have p...
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MA Plans Test Digital Comms Tactics for Tech-Heavy AEP

Despite the acceleration of U.S. COVID-19 cases in March — the third and final month of the Medicare Open Enrollment Period — switching rates among Medicare Advantage beneficiaries during the 2020 OEP were simil...
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