April 15, 2019

CMS gives Medicare Advantage an edge

MA plans may offer non-health benefits such as transportation to grocery shopping for those with chronic conditions. The Centers for Medicare and Medicaid Services today finalized payment updates to Medicare Advantage and Part D plans for 2020.
February 9, 2019

Expected revenue increase

For the first time, MA plans may lower cost sharing for drugs such as Naloxone, to treat opioid overdoses. Medicare Advantage payment rates for 2020 are expected to increase revenue by 1.59 percent, the Centers for Medicare and Medicaid Services said Wednesday, in releasing the second
January 18, 2019

Why Population Health Management Matters

I was recently talking with a colleague about my decision to transition from working as an Emergency Department (ED) nurse practitioner to healthcare IT. I shared with her a story about a bad outcome related to an order set for an ED patient I was working with. This incident happened
December 14, 2018

5.6% Reduction in Care Costs

Value-based payment adoption reduced payers’ care costs by 5.6 percent and led to improvements in provider collaboration and member engagement. Payers that implemented value-based payment models reduced healthcare costs by an average of 5.6 percent, improved provider
December 7, 2018

Why Medicare Advantage enrollment will keep on growing

CMS has broadened the services that Medicare Advantage plans can provide—services that may reduce expensive treatments and injuries. Insurers continue to see the market as a business opportunity. Critics see a slow-motion privatization of Medicare.
November 21, 2018

Medicare Advantage Riding High

Health care experts widely expected the Affordable Care Act to hobble Medicare Advantage, the government-funded private health plans that millions of seniors have chosen as an alternative to original Medicare.