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News
Your Advantage Plan's Star Rating Counts Appeals Timing and Members Lost. CMS Just Decided to Drop Both.
15+ hour, 45+ min ago (734+ words) CMS just quietly removed two Medicare Advantage star measures that reveal what happens when your plan says no. Before they vanish from the scorecard, here is what those numbers actually show and how long you have left to use them....
His Hospital Closed on 70 Hours' Notice. Whether He Can Leave His Advantage Plan Early Turns on Whether He Was Ever a Patient There.
19+ hour, 41+ min ago (658+ words) Sturgis Hospital closed with barely three days' notice, and now a Medicare Advantage enrollee ten minutes away wants out of his plan before flu season. Whether federal rules give him that exit depends entirely on a single fact most people…...
Cardiology Societies Back Expanded Medicare Coverage for Valve Replacement
1+ day, 4+ hour ago (893+ words) In a significant moment for structural heart medicine, three of the world’s leading cardiovascular organizations have come together to endorse a major shift in how Medicare covers one of the most transformative cardiac procedures of the past two decades....
Can Centene's Medicare Advantage Strategy Unlock Better Margins?
2+ day, 1+ hour ago (280+ words) Centene Corporation CNC is reshaping its Medicare Advantage ("MA") business by simplifying its plan footprint and placing greater emphasis on dual-eligible members. The strategy aims to improve the quality of its MA portfolio while better aligning resources with markets and…...
Special benefit plans may cut healthcare expenses for NM seniors
2+ day, 2+ hour ago (262+ words) Enrollment by New Mexico seniors in a program designed to reduce medical costs is lower than expected and experts said a gift this Grandparents Day weekend could be learning if your family members qualify. Dual Eligible Special Needs Plans combine…...
Texas senior citizens could be leaving health benefits on the table
2+ day, 8+ hour ago (295+ words) "It's a special type of Medicare Advantage plan. They get the Medicare and the Medicaid benefits from one single provider, whereas a person who just has Medicare and Medicaid separate has two different providers," Burlbaw explained. "In addition to medical…...
Confronting Higher Acuity And The Intake Clock In Home-Based Care
2+ day, 10+ hour ago (900+ words) As the center of health care has increasingly moved into the home, home-based care services have become more complex. Home-based care providers shared the ways that their strategies, challenges and opportunities are evolving amid this growing complexity at HHCN’s FUTURE…...
Cabinet expands aid for long-term care
2+ day, 15+ hour ago (421+ words) The Executive Yuan yesterday approved expanded subsidies for residents of long-term care facilities, allocating NT$16.62 billion (US$526.82 million) to the plan expected to benefit about 105,000 people. Under the new plan, the maximum monthly subsidy for people with moderate to severe…...
Half of Medicare Advantage stars thresholds harder to reach in 2027
2+ day, 14+ hour ago (1387+ words) The CMS released draft star ratings, including the thresholds for reaching those ratings, to plans earlier this week. The grading sheet got stricter, which doesn’t bode well for insurers. Medicare Advantage insurers could see their star ratings fall next year…...
The Case for ‘Medicare at Cost’
2+ day, 23+ hour ago (19+ words) Governing Internet Explorer 11 is not supported The Case for ‘Medicare at Cost’...