Radar on Medicare Advantage

Tech-Focused MA Startups Chase Tailwinds in New Markets

In advance of the 2021 Medicare Annual Election Period (AEP) that starts on Oct. 15, venture-backed Medicare Advantage firms like Alignment Healthcare and Clover Health are unveiling their plans for expansion while ...
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Plans, Providers Pursue Lasting Change to MA Telehealth Policy

Before a pandemic forced the rapid adoption of telehealth in the U.S., the Trump administration had already implemented or was taking steps to support the use of telehealth in the Medicare Advantage program. But one...
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Proposed MCIT Rule Aims to Speed Senior Access to Breakthrough Devices

Carrying out another directive from President Trump’s Medicare-focused executive order issued last fall (RMA 10/17/19, p. 3), CMS on Aug. 31 released a proposed rule that aims to fast-track Medicare coverage of c...
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MA, Cost, PACE, Demo and Prescription Drug Plan Contract Enrollment Report (August 2020)

Enrollment in Medicare Advantage plans reached 25.2 million enrollees as of the Aug. 1, 2020, payment date, according to new monthly summary data from CMS. The payment reflects enrollments accepted through July 10. ...
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News Briefs

Anthem Blue Cross and Blue Shield and Centene Corp.’s Managed Health Services (MHS) secured new four-year contracts to serve the Indiana state Medicaid program, Hoosier Care Connect. The new pacts, which start in...
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E-Brokers Are Poised for Success in Digital Medicare AEP

As Medicare Advantage organizations prepare to promote their 2021 offerings this fall with no new guidance from CMS on marketing during a pandemic, plans and their broker partners are proceeding as though the safest...
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Heal’s Home-Based Care Model Aims to Reduce Senior ER Use

As visits to hospitals and outpatient clinics have become sources of anxiety for patients worried about exposure to the novel coronavirus, plans and providers alike have begun to make major investments in home care....
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MCOs Posting 2Q Earnings Saw Satisfactory Gains in MA

While second-quarter 2020 earnings calls centered largely on uncertainty related to the COVID-19 pandemic, insurers with a large Medicare Advantage presence expressed satisfaction in membership growth so far this ye...
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Sutter Health Created ‘Aligned Broker Strategy’ to Boost MA Enrollment

Nonprofit health system Sutter Health during the last Medicare Annual Election Period launched several Medicare Advantage products with Orange, Calif.-based MA startup Alignment Healthcare, which as of June had enro...
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News Briefs

✦ In addition to offering premium discounts and/or rebates to commercial enrollees as a result of higher earnings during the COVID-19 pandemic, several Blues plans at press time unveiled premium-relief actions fo...
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