Medicare Advantage

Aetna, McLaren Physician Partners collaborate to extend coverage in Michigan - MedCity News | 11/12/2020

The health insurer and Michigan-based physician organization are partnering to expand access to in-network care for around 40,000 individual and group Medicare Advantage plan members. The partnership will go into effect Dec. 1. Post a comment / Nov 11, 2020 at 6:09 PM Shares 0 Health insurer Aetna is collaborating with McLaren Physician Partners to allow its Medicare Advantage members in-network access to the care network based in …

Blue Cross and Blue Shield of Texas to Launch Enhanced Medicare Advantage Plan | State News | moorenews.com | 11/11/2020

Blue Cross and Blue Shield of Texas to Launch Enhanced Medicare Advantage Plan By Blue Cross and Blue Shield of Texas Nov 11, 2020 Blue Cross and Blue Shield of Texas logo. (PRNewsFoto/Blue Cross and Blue Shield of Texas) By Blue Cross and Blue Shield of Texas TownNews.com Content Exchange Save RICHARDSON, Texas , Nov. 11, 2020 /PRNewswire/ – Blue Cross and Blue Shield of Texas (BCBSTX) will launch a Medicare …

Humana (HUM) Inks Deal to Better Serve Members in Kansas Area - November 11, 2020 - Zacks.com | 11/11/2020

Humana Inc. ( HUM Quick Quote HUM - Free Report ) recently inked a deal with Prime Healthcare to offer in-network access to most area Humana Medicare Advantage and commercial plan members at two Prime Healthcare hospitals in Kansas. However, terms of the transaction were kept under wraps. Prime Healthcare is a leading health system with 46 hospitals in 14 states. Effective now, the deal adds in-network access to local Humana …

Humana (HUM), Northwell Tie Up for Better Health Outcome - November 10, 2020 - Zacks.com | 11/10/2020

… outpatient facilities and more than 14,200 affiliated physicians. With the help of this transaction, Northwell will be able to combine its wide network and clinical quality with Humana‚Äôs reputation as a leader in Medicare Advantage . Both companies will work together to provide a Northwell retiree product for the next year and look forward to collaborate on products in the future. Both entities will continue with the successful trend of …

A New Medicare Advantage Plan for the Milwaukee Area | 11/9/2020

Open enrollment is currently in full swing, and many people are taking advantage of the new plans offered this year. In fact, the greater Milwaukee area has a new Medicare Advantage Plan option for 2021! Aurora Health Care has collaborated with Quartz to offer the region‚Äôs only 5-Star-rated Medicare Advantage Plan. We spoke to Dr. Mark Selna, President & CEO of Quartz about the new plan and its …

Data show ‘massive’ decrease in medical spending as COVID-19 pandemic evolved | 11/9/2020

Weekly aggregate medical spending by most commercial insurance customers and Medicare Advantage recipients in the United States dropped by nearly half as the COVID-19 pandemic progressed, data show. ‚ÄúUnderstanding how early spending changes varied by disease incidence and implementation of policies to limit transmission can inform expectations about health care spending as the pandemic evolves,‚Äù J. Michael McWilliams, MD, PhD , a professor of health care policy at Harvard …

Open Enrollment Ends Dec. 7 For Medicare Beneficiaries | 11/8/2020

… decision about coverage because you may be able to receive more affordable and better Medicare health and/or drug plan options in your area. For example, even if you are satisfied with your current Medicare Advantage or Part D plan, there may be another plan in your area that covers your health care and/or drugs at a better price. SHIIP is a division of the North Carolina Department of …

Aging Matters:Veteran recognition program planned | 11/8/2020

… Salem will have an online workshop for individuals turning 65 and those who already have Medicare to learn about the different insurance options available, including “Original Medicare,” Medicare prescription drug programs, Medicare supplements and Medicare Advantage plans. The session will be held from 3 to 4:30 p.m. Nov. 17 through computer and telephone access. The session is designed to explain and clarify the Medicare sign-up process and educate attendees …

Now is the time to review your Health & Life Insurance | 11/6/2020

… now is the time for people to reevaluate their plans and talk to an agent about what‚Äôs best for their family.Parton says networks have changed for many policies in Northwest Ohio on the medicare advantage side, so people need to check their plans and make sure their doctors are still in-network.For those under 65 years of age, there are new carriers broadening their networks, meaning more healthcare options.There …

2020 Medicare changes: What’s new this year? - MarketWatch | 11/6/2020

… 2020 affected virtually every part of Medicare. This article will highlight new changes affecting your wallet and your healthcare coverage this year. These changes include adjustments to Original Medicare premiums and deductibles, updates for Medicare Advantage and Medigap plans, and expanded access to coverage across the entire Medicare program during the COVID-19 pandemic. The Medicare Part B premium is $144.60 per month in 2020, an increase nearly $10 since …

Public option faces long shot even with a Biden win and Democratic sweep - Business Insider | 11/6/2020

… a key promise by President-elect Joe Biden. Progressives are pushing for Democrats to leverage Medicare to get health insurance to everyone in the US, but centrists want a privatized public option more like Medicare Advantage . “We are going to have to work really hard to fight back on that,” Rep. Pramila Jayapal of Washington said. President-elect Joe Biden's campaign pledge to create a new type of …

Evolent Health’s Subsidiary New Century Health to Support Florida Blue Medicare with Comprehensive Oncology Management Services - GuruFocus.com | 11/5/2020

The company will leverage Evolent’s oncology specialty management program through New Century Health to help ensure its more than 125,000 Medicare Advantage members receive high-quality cancer care PR Newswire WASHINGTON, Nov. 5, 2020 WASHINGTON Evolent Health, Inc. (NYSE: EVH), a health care company that delivers proven clinical and administrative solutions to payers and providers, today announced that it will provide comprehensive oncology specialty management services through its subsidiary New …

Health New England Partners with Healthmap Solutions to Provide Kidney Health Management Program to Members | 11/5/2020

… New England announced today a new partnership with Healthmap Solutions (Healthmap), an industry-leading Kidney Health Management (KHM) company. Effective December 1, 2020, the KHM program will be available to Health New England‚Äôs Medicare Advantage , Commercial and Medicaid members living with chronic kidney disease (CKD) and end-stage renal disease (ESRD). ‚ÄúChronic kidney disease is a progressive and usually silent condition that can end in tremendous debilitation, including a …

Humana Accelerates Value-Based Care Strategy with Home Health Providers, Others | Home Health Care News | 11/4/2020

… health at the same time. Those are just a couple key takeaways from a Tuesday conference call with investors and analysts to discuss Humana‚Äôs third quarter financial results. With full-year expected individual Medicare Advantage (MA) growth of about 375,000 members, Humana is one of the largest MA entities in the nation. In addition to its MA business, Humana oversees a vast collection of in-house health care services …

UnitedHealthcare Advances Home Strategy, Expects to Make 1.7M House Calls in 2020 | Home Health Care News | 11/4/2020

A number of major Medicare Advantage (MA) carriers are expanding their supplemental benefit offerings shaped around in-home care next year. UnitedHealthcare, the insurance arm of UnitedHealth Group (NYSE: UNH), is among them. Overall, UnitedHealthcare partners with more than 1.3 million physicians and care professionals across the U.S., plus another 6,500 or so hospitals and other care facilities. In 2020, UnitedHealthcare had more MA enrollees than any other group. ‚ÄúWe …

Medicare cost | 11/3/2020

… PK, If I understood your post correctly, I think you were given some bad Advantage info. I copied the following directly from the Medicare site. Hopefully this info is useful… Things to know about Medicare Advantage Plans You’re still in the People who are 65 or older Certain younger people with disabilities People with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD) You …

CMS Sets Medicare Reimbursement Rate for COVID-19 Vaccine | 11/3/2020

… patient is an inpatient. CMS is working with the American Medical Association (AMA) to finalize billing codes for the use of a COVID-19 vaccine . In the rule, the federal agency also required Medicare, Medicare Advantage , Medicaid, and most private plans to waive cost-sharing for an approved vaccine, while ensuring providers will be reimbursed via the Provider Relief Fund for administering vaccines to the uninsured. In addition to reimbursement …

Humana Reports Third Quarter 2020 Financial Results; Remains Focused on Facilitating Access to Quality Care During the Pandemic | 11/3/2020

2022 Preliminary Rate Notice On Friday, October 30, 2020, after the stock market closed, the Centers for Medicare and Medicaid Services (CMS) issued its preliminary 2022 Medicare Advantage and Part D payment rates and proposed policy changes (collectively, the Advance Notice). CMS has invited public comment on the Advance Notice before publishing final rates on or before April 5, 2021 (the Final Notice), and indicated that the Final Notice may …

Humana’s (HUM) Q3 Earnings Surpass Estimates, Decline Y/Y - November 3, 2020 - Zacks.com | 11/3/2020

… treatment costs. Operational Update Revenues of $20.08 billion were up nearly 24% year over year. Moreover, the top line surpassed the Zacks Consensus Estimate by 7.5% on the back of better premium revenues from Medicare Advantage along with improved membership in state-based contracts and an increase in per member Medicare Advantage premiums. Other factors, such as higher investment income also contributed to this upside. Benefit ratio contracted 240 basis …

Humana’s (HUM) Q3 Earnings Surpass Estimates, Decline Y/Y - November 3, 2020 - Zacks.com | 11/3/2020

… treatment costs. Operational Update Revenues of $20.08 billion were up nearly 24% year over year. Moreover, the top line surpassed the Zacks Consensus Estimate by 7.5% on the back of better premium revenues from Medicare Advantage along with improved membership in state-based contracts and an increase in per member Medicare Advantage premiums. Other factors, such as higher investment income also contributed to this upside. Benefit ratio contracted 240 basis …

CMS asks appeals court to allow Medicare Advantage overpayment rule to stand - Modern Healthcare | 11/3/2020

Print Modern Healthcare Illustration / Getty Images The Trump administration on Tuesday pushed three federal judges to allow CMS to move forward with a 2014 rule requiring Medicare Advantage plans to repay HHS for overpayments. Insurers sued the federal government over the rule, claiming that CMS didn’t have the power to issue it because the agency didn’t ensure payments to Medicare Advantage plans were “actuarially equivalent” to traditional Medicare , which federal …

Medicare Advantage May See 2.8% Change in 2022 Revenue, 4.5% Growth | HealthPayer Intelligence | 11/3/2020

Policy and Regulation News Medicare Advantage May See 2.8% Change in 2022 Revenue, 4.5% Growth As CMS considers fully phasing in encounter data and making changes to Medicare Advantage Star Ratings, CMS policies could lead to a slight increase in Medicare Advantage revenue. Source: CMS Logo By November 03, 2020 - Medicare Advantage proposed policy changes may result in a 2.82 percent average change in revenue and 4.55 percent change in …

CODY Hires Julie Hughes as Chief Compliance Officer | 11/2/2020

… program and deliver compliance consulting services to clients. She will be instrumental in working across the organization on the development of the CodySoft ¬Æ compliance software, tech-enabled services and allied services . “Julie’s extensive Medicare Advantage (MA) background is a great addition to the CODY team,” said Deb Mabari , CODY’s Chief Executive Officer. “Her strong leadership skills and education, as well as her broad compliance expertise from a health plan’s …

CODY Hires Julie Hughes as Chief Compliance Officer | 11/2/2020

… program and deliver compliance consulting services to clients. She will be instrumental in working across the organization on the development of the CodySoft ¬Æ compliance software, tech-enabled services and allied services . “Julie’s extensive Medicare Advantage (MA) background is a great addition to the CODY team,” said Deb Mabari , CODY’s Cief Executive Officer. “Her strong leadership skills and education, as well as her broad compliance expertise from a health plan’s …

End-Stage Renal Disease Treatment Choices (ETC) Model Finalized | Kidney News | 11/2/2020

… nephrologists, ‚Äúmanaging clinicians,‚Äù will be included. Nephrologists will be organized in the model at the nephrology practice level and identified based on their primary practice zip code. The model excludes ESRD patients with Medicare Advantage (MA), children, hospice and nursing facility and skilled nursing facility patients, acute kidney injury-D (AKI-D), and those with dementia. The model runs from January 21, 2021, through June 30, 2027. The 80 …