Medicare Advantage

Overview of Medicare Advantage Plans | 5/26/2020

Overview of Medicare Advantage Plans When shopping for Medicare Advantage Plans, the options are as varied as they are confusing. Beyond your basic Medicare needs, there are many optional plans available depending on your situation and budget. Some plans require more out of pocket expenses resulting in lower monthly premiums whereas other plans are more expensive but allow for more controlled costs for services. With all of the different coverage …

DaVita Inc. Announces Offering of $1.75 Billion Senior Notes | PR Newswire | 5/26/2020

… about how our patients will respond to any such developments; a reduction in government payment rates under the Medicare End Stage Renal Disease program or other government-based programs and the impact of the Medicare Advantage benchmark structure; risks arising from potential and proposed federal and/or state legislation, regulation, ballot, executive action or other initiatives, including such initiatives related to healthcare and/or labor matters; the impact of the …

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CMS Finalizes Plan to Allow Medicare Advantage Plans to Expand Telehealth Benefits | 5/26/2020

CMS Finalizes Plan to Allow Medicare Advantage Plans to Expand Telehealth Benefits Source: FierceHealthcare The Trump administration has finalized several changes in Medicare Advantage (MA) and Part D in anticipation of bid submissions on June 1, according to a FierceHealthcare report . The Centers for Medicare & Medicaid Services (CMS) released a final rule (PDF) Friday that includes technical changes mandated by the 21st Century Cures Act and the 2018 Bipartisan Budget …

Audio-only Telehealth Coverage Essential During COVID-19 Outbreak | HealthPayer Intelligence | 5/26/2020

Policy and Regulation News Audio-only Telehealth Coverage Essential During COVID-19 Outbreak Telehealth exploded amidst the COVID-19 pandemic. But disparities in reimbursement for audio-only telehealth visits may have downstream implications for Medicare Advantage members. Source: Getty Images By May 26, 2020 - The coronavirus pandemic sparked a rise in telehealth use. Video and audio visits allow patients to connect with their providers virtually, eliminating the risk of a …

Stay informed about senior services | 5/25/2020

… of areas, the program has taken on more volunteers or widened the area they cover, having received grants and other funding, giving more seniors the opportunity to have meals delivered. If you have a Medicare Advantage plan, those meals might be covered, if you meet the qualifications. Some areas are establishing meal delivery from restaurants for seniors who shouldn’t go out. If you have a town council, they will know …

Americans share what they love about Medicare Advantage with Representative Lizzie Fletcher’s staff | 5/25/2020

… Rep. Lizzie Fletcher’s office. In February, our Texas Coalition members participated in a meeting with multiple staff members from Rep. Lizzie Fletcher’s office. During the meeting, Coalition members noted the positive impact that the Medicare Advantage program has had on their lives. Members shared their favorite features of Medicare Advantage, including everything from comprehensive coverage to fitness programs. Coalition members weighed in on their personal experiences with Medicare Advantage, specifically …

JOEL MEKLER: Does your doctor accept Medicare assignment? | 5/25/2020

Although Medicare Advantage plans are becoming increasingly popular, still nearly two-thirds of all beneficiaries prefer Original Medicare. People like the freedom to choose any doctor or hospital that accepts Medicare patients, and most do. On the other hand, Medicare Advantage plans limit the choice of providers to those in their networks and service areas. With Original Medicare (Part A and Part B), you may add Part D prescription drug …

Medicare Getting On Board With More Telehealth | 5/24/2020

The widespread Medicare Advantage program will feature broadened access to telehealth services, under a newly adopted rule. The Centers for Medicare and Medicaid Services announced a new rule, seeking to expand access to telehealth services for the many users of Medicare Advantage , effective June 1. From an article on the site HealthCareFinanceNews.com : CMS is giving MA plans more flexibility to count telehealth providers in certain specialty areas such as Dermatology …

AAO calls for elimination of step therapy protocols during pandemic | 5/23/2020

Step therapy protocols and prior authorization regulations in Medicare Advantage and Part D plans are limiting access to needed medications and should be suspended by CMS for the duration of the COVID-19 pandemic, according to the clinical spokesperson for the American Academy of Ophthalmology “The Academy has requested there be an immediate suspension of all step therapy requirements by Medicare Advantage plans and, in fact, by all commercial carriers …

(WellMed) Client Manager / Director of Contracted Operations - Dallas, TX - UnitedHealth Group - Dallas, TX | 5/23/2020

… healthcare delivery for seniors. At WellMed, now part of Optum and the UnitedHealth Group family of businesses, we focus on prevention and the complete coordination of care for our patients. We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth. Join us and you’ll be part of a team dedicated to patient-centered, safe and effective health care. Your skills and talents …

New CMS Medicare Advantage Rule Creates Incentives for Providers to Invest in Telehealth | Home Health Care News | 5/23/2020

… by working with MA plans, however. The new rule may accelerate those working relationships. “It … creates incentives for providers to invest in telehealth if they haven’t already because it becomes a bargaining chip with Medicare Advantage plans,” Rizer said. “And importantly, it could improve access to individuals unable or unwilling to travel to a provider’s office.” Additionally, telehealth flexibilities during the public health emergency have decreased “no-shows,” according to …

zero premium medicare plans (2430 South Broad Street, 1st floor Philadelphia,) | 5/23/2020

Posted on : Saturday, 23 May, 2020 10:39 Updated On : Saturday, 23 May, 2020 10:39 Expires On : Sunday, 23 May, 2021 09:39 Hits : 2 Report Abuse Email this Ad BroadZero offers easy access to the most excellent Part C zero-premium Medicare Advantage plans » Philadelphia has available. We are a licensed independent insurance agent specializing in 0 premium plans and Medicare supplements from Cigna HealthSprings, Aetna Medicare, Humana, and Clover Health …

Aging Matters: Online Memorial Day show Monday | 5/23/2020

… 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. Wednesday through computer and telephone access. The session is designed to explain and clarify the Medicare sign-up process and educate attendees on …

In final rule, CMS makes telehealth more widely available in Medicare Advantage plans | Healthcare Finance | 5/23/2020

… on June 1 for the 2021 plan year. Susan Morse , Managing Editor The Centers for Medicare and Medicaid Services today finalized requirements that will, among other measures, increase access to telehealth for seniors in Medicare Advantage plans. CMS is giving MA plans more flexibility to count telehealth providers in certain specialty areas such as Dermatology, Psychiatry, Cardiology, Ophthalmology, Nephrology, Primary Care, Gynecology, Endocrinology, and infectious diseases, towards meeting CMS network …

United States Fire Insurance Company, a Crum & Forster Company, Selects Senior Market Sales® as the Sole Distribution Partner for Its Medicare Supplement Plans | PRWeb | 5/22/2020

… low premium cost and low out-of-pocket expense,” he said. “This plan is a great fit for those who have Health Savings Account funds to spend, or for those interested in a viable Medicare Advantage alternative.” About Crum & Forster Established in 1822, Crum & Forster has proudly served customers with the utmost professionalism, excellent service and a diverse portfolio of customized products. Their agile structure enables them to respond quickly …

download | #Florida Medicare Advantage plans | hdfgh dgd | Flickr | 5/22/2020

Florida Medicare Advantage plans …

Humana, Healthmap Tie Up for Better Care to CKD Patients - May 22, 2020 - Zacks.com | 5/22/2020

Humana Inc. ( HUM - Free Report ) recently entered into a collaboration with Healthmap Solutions, Inc., a leading health management company with kidney health expertise, in a bid to cater to Humana Medicare Advantage and Commercial members who have kidney-related issues in Florida. The partnership is now in effect. Rationale Behind the Deal The deal is aimed at improving the health of patients suffering from chronic kidney disease (CKD). It is …

News: Trump Administration Announces Changes to Medicare Advantage and Part D to Provide Better Coverage and Increase Access for Medicare Beneficiaries | 5/22/2020

Items per page Press release Trump Administration Announces Changes to Medicare Advantage and Part D to Provide Better Coverage and Increase Access for Medicare Beneficiaries May 22, 2020 Medicare Part D The Centers for Medicare & Medicaid Services today finalized requirements that will increase access to telehealth for seniors in Medicare Advantage (MA) plans, expand the types of supplemental benefits available for beneficiaries with an MA plan who have chronic diseases …

Highmark extends breaks for telehealth through Sept. 30: 4 details | Becker’s Hospital Review | 5/22/2020

… network telehealth visits and was originally expanded in March to meet the needs of patients during the pandemic. 2. Self-funded employer groups that Highmark administers can opt out of the waiver. 3. Highmark’s Medicare Advantage members will not have cost-sharing for in-network or out-of-network care through Sept. 30. 4. The company expanded its telehealth provider services through Sept. 30. The covered services include some physical …

CMS expands telehealth for Medicare Advantage plans: 4 details | Becker’s Hospital Review | 5/22/2020

Print Email CMS finalized a rule to encourage Medicare Advantage plans to increase telehealth benefits and plan options for beneficiaries in rural areas. The rule gives the plans flexibility to count telehealth providers in some specialty areas, including dermatology, psychiatry, cardiology, ophthalmology, nephrology, primary care, gynecology, endocrinology and infectious disease, toward meeting CMS network adequacy standards. “CMS’s rapid changes to telehealth are a godsend to patients and providers and allows …

Optum buys naviHealth: 5 details | Becker’s Hospital Review | 5/22/2020

… 2. NaviHealth develops software to track and coordinate patient care after discharge from the hospital. It also coordinates bundled payments for episodes of care. The company manages post-acute services for about 4.5 million Medicare Advantage members and serves more than 140 hospitals in the CMS Bundled Payments for Care Improvement Advanced program. 3. In June 2018, Cardinal Health sold a 55 percent stake in naviHealth to the private equity …

CMS finalizes telehealth and ESRD changes for Medicare Advantage | Modern Healthcare | 5/22/2020

Getty Images/iStockphoto internet and health . remote assistance CMS on Friday finalized several changes to Medicare Advantage and Part D but said more updates are coming. The final rule will make it easier for Medicare Advantage plans to meet network adequacy standards. Advantage plans can now contract with telehealth providers for specialties like cardiology and receive a 10% boost to their percentage of beneficiaries that live within the time and …

ACE inhibitors and severe COVID-19: Protective in older patients? | 5/22/2020

… company United Heath Group and by Yale University, New Haven, Conn. The investigators analyzed data from 10,000 patients from across the United States who had tested positive for COVID-19, who were enrolled in Medicare Advantage insurance plans or were commercially insured, and who had received a prescription for one or more antihypertensive medications. Results showed that the use of ACE inhibitors was associated with an almost 40% lower risk …

Proposed IPPS Rule for 2021 Released - | 5/22/2020

… 2020. By way of background, federal law requires CMS to update payment rates for IPPS hospitals annually. CMS is proposing to collect a summary of hospitals’ median payer-specific negotiated inpatient service charges for Medicare Advantage organizations and third-party payers. The agency hopes to use this data to “set relative Medicare payment rates for hospital procedures.” The proposed changes for fiscal 2021 would apply to approximately 3,200 acute care …

CMS Expands Telehealth, Rural Plan Options for Medicare Advantage | HealthPayer Intelligence | 5/22/2020

Policy and Regulation News CMS Expands Telehealth, Rural Plan Options for Medicare Advantage CMS chose to finalize some proposals in advance, including measures that increase access to telehealth and rural plan options for Medicare Advantage beneficiaries. Source: CMS Logo By May 22, 2020 - CMS has finalized changes to Medicare Advantage and Medicare Part D telehealth policies and supplemental chronic disease management benefits. The agency has also expanded Medicare Advantage for …

Telehealth

BlueCross to Cover Full Treatment Costs for COVID-19 | Business Wire | 4/3/2020

… related inpatient hospital stays, through May 31, 2020. This benefit is available for BlueCross members in fully insured group, individual, Medicare Advantage and BlueCare Tennessee plans. BlueCross will encourage its self-funded employer group customers … prescriptions to avoid increased risk of exposure Expanding access to telehealth services by making PhysicanNow visits available at no cost and by covering virtual visits with network providers Waiving member costs for any appropriate FDA …

COVID-19

BlueCross to Cover Full Treatment Costs for COVID-19 | Business Wire | 4/3/2020

CHATTANOOGA, Tenn.- BlueCross BlueShield of Tennessee will waive all member cost-sharing for COVID-19 treatments, including hospitalizations, through May 31, 2020. “As part of our mission, our first priority is the health of our … is available for BlueCross members in fully insured group, individual, Medicare Advantage and BlueCare Tennessee plans. BlueCross will encourage its self-funded employer group customers to participate in waiving cost sharing for COVID-19 treatments …

Medicaid

Humana aims to ease administrative, financial burdens on providers amid COVID-19 crisis | FierceHealthcare | 4/2/2020

… Medicare Advantage, Medicaid and fully-insured commercial plans. It’s also nixing member costs for in-network telehealth visits and reimbursing docs for audio-only or telephone appointments. Read more on …

HIPAA

Medicare Advantage Industry Adapting To COVID-19 Challenges | Markets Insider | Business Insider | 4/1/2020

PITTSBURGH , April 1, 2020 /PRNewswire/ – While many physical locations are closed during COVID-19 containment efforts, the Medicare Advantage (MA) industry continues serving our most vulnerable population. However, operations are rapidly changing according to Patrick … environment, it’s not as simple as setting up remote communications. HIPAA, PHI, CMS and security mandates must be upheld.” The initial WFH transition may be difficult, but Phillips believes companies will see a silver lining …

Department of Health and Human Services

Tens of thousands of Americans stranded as countries close borders over coronavirus | NBC News | 3/30/2020

… it accepted millions of doses of a drug that scientists are studying as a possible treatment for COVID-19. The Department of Health and Human Services said in a statement that Sandoz, a subsidiary of … will apply to their privately insured individual and groups plans, Medicare Advantage and Medicaid members …

CDC

Stimulus package sets up clash over payment for COVID-19 tests | Modern Healthcare | 3/29/2020

… negotiate to drive payments below what tests cost. Congress’ second COVID-19 relief package forced private health plans, Medicare, Medicaid, Medicare Advantage and other public payers to provide beneficiaries coronavirus testing with no cost-sharing … Medicare has announced it will reimburse around $51 for non-CDC test kits. But the American Clinical Laboratory Association, which includes testing giants LabCorp and Quest, believes that labs may not have legal recourse to …

Community Health

COVID-19 could slow payers’ movement toward interoperability compliance | Modern Healthcare | 3/27/2020

… spanning from later this year to 2022. One of the main provisions is that CMS-regulated insurers like those with Medicare Advantage and Medicaid managed care offerings will be required to get processes up and … said Ceci Connolly, president and CEO of the Alliance of Community Health Plans. But now, “we’re having a hard time seeing how this massive implementation can run on a parallel track with a global pandemic …

Population Health

WellCare Enters into New Agreement with HealthChoice, LLC | PR Newswire | 3/17/2020

MEMPHIS, Tenn. , March 17, WellCare Medicare Advantage members in Tennessee , Mississippi and Arkansas now have in-network access to Methodist Le Bonheur Healthcare providers and facilities under a new agreement with HealthChoice, LLC, effective Jan … services such as managed care contracting, payor and broker relations, population health service and healthcare data analytics. HealthChoice not serves as the clinically integrated network, joining physicians and hospitals to improve the population’s health by …

ACOs

Response To Coronavirus Reflects Trump’s Plan To Radically Reform Health Care | Forbes | 3/17/2020

Medicare Advantage plans and Accountable Care Organizations (ACOs) can bill Medicare if they consult with patients remotely to determine if they need an in-office visit. Patients can be anywhere, including their own homes. How did Seema Verma (who administers Medicare and Medicaid) get away with these changes? By reclassifying these activities as “virtual medicine” instead of “telemedicine.” The communications are labeled “virtual check ins.” Still, these are baby steps …

Remote Monitoring

CMS Targets Medicare Advantage Beneficiaries In COVID-19 Efforts | HealthPayer Intelligence | 3/11/2020

Policy and Regulation News CMS Targets Medicare Advantage Beneficiaries In COVID-19 Efforts With the correlation between infection and age, CMS and AHIP are opening up new benefits and cost-sharing flexibilities to help Medicare … Secure The payers particularly emphasized innovative use of telehealth and remote monitoring options as pivotal to the containment effort. They called on state and federal officials to take regulatory action to increase access to such …

Digital Health

Insurance startup Alignment Healthcare raised $135 million to expand its Medicare Advantage footprint | Business Insider | 3/5/2020

This story was delivered to Business Insider Intelligence Digital Health Pro subscribers earlier this morning. To get this story plus others to your inbox each day, hours before they’re published on Business Insider, click here. California-based health insurance startup Alignment Healthcare has raised $135 million in Series C funding, according to Forbes. For context, Alignment Healthcare sells Medicare Advantage (MA) plans in California and North Carolina, and the MA …

Kaiser Family Foundation

We got a look at the slide deck a health insurance startup is using to raise $25 million for its bet that pharmacists can help it take on the red-hot Medicare Advantage market | Business Insider | 2/18/2020

Troy Medicare offers Medicare Advantage plans to seniors in North Carolina with an unusual twist: the plan pays community pharmacists to keep their members healthier. Click here for more BI Prime stories . Troy Medicare offers … billion in size by 2025. Troy Medicare slide deck Source: Kaiser Family Foundation , LEK Consulting Next, the deck gives context around independent pharmacies, emphasizing just how big a piece of the overall pharmacy business they …

Centers for Medicare and Medicaid Services

Why Medicare Advantage Plans Are Being Overpaid By $200 Billion And What To Do About It | Health Affairs | 1/29/2020

Email In the Deficit Reduction Act of 2005, Congress gave the Centers for Medicare and Medicaid Services (CMS) the statutory authority and obligation to implement a “coding intensity adjustment” for Medicare Advantage (MA) plans, to adjust for differences in patterns of diagnosis coding between MA and traditional Medicare. Under both the Obama and Trump administrations, the coding intensity adjustment implemented by CMS has consistently been substantially smaller than justified by …

Health Management

Healthmap Solutions Alerts Medicare Advantage Plans to Prepare Now for 21st Century CURES Act Implementation | Globe Newswire | 1/29/2020

TAMPA, Fla., Jan. 29, 2020 (GLOBE NEWSWIRE) – Healthmap Solutions, a rapidly growing national Population Health Management (PHM) company with a flagship Kidney Health Management (KHM) program, is urging Medicare Advantage (MA) plans to prepare now for the 21 st Century CURES Act and a key provision which allows previously ineligible End-Stage Renal Disease (ESRD) patients to select an MA plan during open enrollment for the 2021 calendar year. ESRD …

Care Coordination Technology

HealthBI Doubled Revenue for CareEmpower Care Coordination Platform in 2019 | PR Newswire | 1/8/2020

… covered. The platform now enables the delivery of proactive, preventive care for nearly 20 million members in Medicaid managed plans, Medicare Advantage, and commercial health plans. HealthBI president Doug Duskin gave the following commentary on … succeed in an increasingly outcomes-driven world. Since 2012, HealthBI’s care coordination technology has been deployed by the country’s largest payers to support practices and the community in improving the continuity of care and optimizing …

Mental Health

HealthBI Doubled Revenue for CareEmpower Care Coordination Platform in 2019 | PR Newswire | 1/8/2020

… covered. The platform now enables the delivery of proactive, preventive care for nearly 20 million members in Medicaid managed plans, Medicare Advantage, and commercial health plans. HealthBI president Doug Duskin gave the following commentary on … Plans network see an integrated view of members’ physical and mental health history, medication history, and even social determinants of health, right at the point of care. Providers can then act on the member’s needs …

ACA

Appeals court ruling on Obamacare a brief reprieve for health industry | CNBC | 12/19/2019

… ACA, more commonly known as Obamacare, should remain intact. Health policy experts say the decision will likely delay the Supreme Court hearing the landmark case until after the 2020 elections, with a ruling as far out as 2021. Shares of Centene , which serves consumers in the Medicaid, Medicare Advantage and Obamacare exchange markets, were up nearly 4% in intraday trading on Thursday. UnitedHealth Group shares rose more than 1%, Molina …

ACA Marketplace

Enrollment and PCP Density Influence Rural Public Payer Premiums | HealthPayer Intelligence | 12/10/2019

… a potential policy solution.” The study looked at the Federal Employees Health Benefits (FEHB) Program , the first public payer program that used a competitive market to govern the cost of its plans, like Medicare Advantage (MA) or an Affordable Care Act (ACA) marketplace. These three programs now cover 41 million Americans as of 2018. Previous studies have shown that in rural counties these programs have higher premiums and lower access …

Readmissions

Embracing End-of-Life Plans Can Lead to Better Skilled Nursing Care — While Reducing Unnecessary Costs | 12/4/2019

… carried out at a skilled nursing facility. However, a recent controversial study points to a higher rate of hospitalizations with Medicare Advantage patients who underwent advance care planning. The study, however, contains certain limitations, such … they don’t have to pay for unnecessary hospital admissions or readmissions,” Fogg said. Emergency services such as fire, ambulance, and acute care providers and others also need to have this information, he added. From a …

Home Health

Home Health M&A Activity Steady in 2019, as Hospice Deals Spike | 12/4/2019

At 79 deals and counting through November, home health and hospice mergers-and-acquisitions activity for 2019 is poised to exceed the previous year. That’s according to newly released data from Norwalk, Connecticut-based Irving … companies, based on the significantly more positive reimbursement environment, with Medicare Advantage plans set to roll out hospice benefits beginning in 2021, and the uncertainty currently playing out on the home health side before the …

American Heart Association

Philips and Humana team up to improve care for at-risk Medicare Advantage members | 12/4/2019

… leading health and well-being companies in the U.S., to help improve care and health outcomes for select high-risk Medicare Advantage members. Through an integrated approach, Humana has implemented two programs that leverage Philips … disease in the United States: a policy statement from the American Heart Association .” Circulation . 2011;123(8):933–44 For further information, please contact: Kathy O’Reilly Philips Global Press Office Tel.: +1 978-221-8919 E-mail …

Home Care

Philips and Humana team up to improve care for at-risk Medicare Advantage members | 12/4/2019

… leading health and well-being companies in the U.S., to help improve care and health outcomes for select high-risk Medicare Advantage members. Through an integrated approach, Humana has implemented two programs that leverage Philips … continuum from healthy living and prevention, to diagnosis, treatment and home care. Philips leverages advanced technology and deep clinical and consumer insights to deliver integrated solutions. Headquartered in the Netherlands, the company is a leader …

American Medical Association

ACS acts to address burdensome, inappropriate use of prior authorization | The Bulletin | 12/4/2019

… of stringent prior authorization processes both private insurance companies and the Centers for Medicare & Medicaid Services (CMS) contractors that administer Medicare Advantage health plans have implemented. Participants in a recent American College of Surgeons (ACS … paper/CAQH-CORE-Automating-Prior-Authorization.pdf . Accessed October 16, 2019. American Medical Association. Industry checkup: Measuring progress in improving Prior authorization. Available at: www.ama-assn.org/system/files/2019-03/prior-auth-survey.pdf . Accessed October 16, 2019 …

Patient Referrals

(USA-CA-Van Nuys) Podiatrist - February 2020: 1-2 Month Coverage - San Fernando Valley | 12/4/2019

… based on needs.HCP is a value-based care organization and this position would help support two current Podiatrists with patients referred as part of their annual wellness visits. We see mainly adults and Medicare Advantage seniors and do basic bread and butter clinical and procedural Podiatry.Upon completion of the assignment, you would have the option to remain on in our Per Diem Pool and pick up shifts and coverage at …

Coordinated Care

UnitedHealth Group Incorporated (NYSE:UNH) - Analysts Offer Positive Prognosis For UnitedHealth After Investor Day | Benzinga | 12/4/2019

… Ann Hayes wrote in a report. Biggest Takeaways From UnitedHealth’s Investor Day UnitedHealth’s guidance mostly aligned with analyst expectations, but big picture details caused a stir. Mizuho was particularly enthused about Medicaid and Medicare Advantage growth. Medical membership growth is expected to be driven by government rather than commercial accounts in 2020. Bank of America noted the company is well positioned to seize synergies across its health plan, pharmacy benefit …

UnitedHealth

AHA wants private payers to do more to help hospitals fight COVID-19. Payers say they’ve done a lot already | Healthcare Dive | 4/2/2020

Medicare Advantage or Medicaid managed care plans. Many private payers waived co-payments for COVID-19 diagnostics in a bid to get more Americans tested. Over roughly the past week, Aetna , Humana, Cigna , Anthem and UnitedHealth have all said they will waive cost-sharing for COVID-19 treatment, too, as confirmed cases in the U.S. continue to climb. Still, self-insured plans can opt out. Many private payers, mirroring changes …

CVS Health

Cigna and Humana waive coronavirus treatment costs | CNBC | 3/30/2020

Medicare Advantage and Medicaid members. “We’re taking this significant action to help ease the burden on seniors and others who are struggling right now. No American should be concerned about the cost of care when being treated for coronavirus,” said Bruce Broussard, president and CEO of Humana. Last week, CVS Health’s Aetna division became the first major carrier to waive cost-sharing on Covid-19 hospitalization at its in-network …

CVS

Cigna and Humana waive coronavirus treatment costs | CNBC | 3/30/2020

Medicare Advantage and Medicaid members. “We’re taking this significant action to help ease the burden on seniors and others who are struggling right now. No American should be concerned about the cost of care when being treated for coronavirus,” said Bruce Broussard, president and CEO of Humana. Last week, CVS Health’s Aetna division became the first major carrier to waive cost-sharing on Covid-19 hospitalization at its in-network …

LabCorp

Stimulus package sets up clash over payment for COVID-19 tests | Modern Healthcare | 3/29/2020

… negotiate to drive payments below what tests cost. Congress’ second COVID-19 relief package forced private health plans, Medicare, Medicaid, Medicare Advantage and other public payers to provide beneficiaries coronavirus testing with no cost-sharing … But the American Clinical Laboratory Association, which includes testing giants LabCorp and Quest, believes that labs may not have legal recourse to force payment of the public cash price if insurers try to negotiate and …

UnitedHealth Group

Justice Department accuses Anthem of Medicare Advantage fraud | Modern Healthcare | 3/27/2020

… York alleged that Anthem combed patient medical charts to find additional diagnosis codes to submit to the CMS for higher Medicare Advantage payments. But in the process, Anthem chose not to delete thousands of inaccurate … of disregarding that rule. The Justice Department has also sued UnitedHealth Group over its Medicare Advantage billing practices but so far has been unsuccessful in court. According to the lawsuit against Anthem, knowingly submitted inaccurate …

Quest Diagnostics

CMS eases more Medicare restrictions to boost coronavirus treatment access | Healthcare Dive | 3/11/2020

… Author share Dive Brief: CMS took further action Tuesday to ease access for people affected by the novel coronavirus. For Medicare Advantage and Part D plans, the agency is requiring them to waive cost-sharing … the capacity to test 75,000 people. The big commercial labs Quest Diagnostics and LabCorp have made tests available in recent days, and she said within the next couple of weeks the majority of tests will …

Amazon Health

Insurance startup Alignment Healthcare raised $135 million to expand its Medicare Advantage footprint | Business Insider | 3/5/2020

… insurance startup Alignment Healthcare has raised $135 million in Series C funding, according to Forbes. For context, Alignment Healthcare sells Medicare Advantage (MA) plans in California and North Carolina, and the MA market enables seniors … the rest of the story at Business Insider See Also: Amazon’s new Alexa features let users ask questions about medications and their interactions Sanofi just got its first cancer drug approved in a decade. Here’s …

Centene

Publicly traded health insurers’ revenue nears $1 trillion | Modern Healthcare | 2/18/2020

Medicare Advantage and managed Medicaid, Banerjee said. Medicare Advantage is growing rapidly as a generation of Americans turns age 65. The seven companies’ combined medical membership grew 1.7% to $165.4 million. The analysis of financial results included Anthem, Centene Corp., Cigna, CVS Health, Humana, Molina Healthcare and UnitedHealth Group. It excluded insurer WellCare Health Plans, which was acquired by Centene in the first quarter of 2020 and did not report …

Walmart Health

Health Hubs And Medicare Advantage Boost CVS Health | Forbes | 2/12/2020

CVS Health said a big boost in enrollment in seniors signing up for Medicare Advantage plans and new “health hub” formats in its stores are helping boost profits. CVS Wednesday said fourth quarter 2019 net … retailers in the healthcare space like Walgreens Boots Alliance and Walmart look to fill the emptying space in their brick and mortar stores in the face of changing consumer shopping habits driven in part by …

Avalere Health

CMS rule gives Part D plans, PBMs new negotiation tools with drug companies | FierceHealthcare | 2/12/2020

… rebates, but with several caveats, experts say. The Centers for Medicare & Medicaid Services (CMS) released a proposed payment rule for Medicare Advantage and Part D plans last week. The rule included a proposal to create … more rebates,” said Matt Kazan, a principal at consulting firm Avalere Health. RELATED: Humana bleeds 550K Part D members amid ‘winner take all’ market Currently, Part D plans put all specialty drugs, which often have …

Lyft Health

Alivi Expands Lyft Partnership to Improve Health Outcomes | Business Wire | 2/5/2020

… Lyft, whose mission is to improve people’s lives through the world’s best transportation. The integration leverages the Lyft Concierge API and is a natural next step for Alivi given its work to improve health outcomes by automating rideshare request experience – making it easier and faster to order rides for members of Medicare Advantage plans. EpicRide is Alivi’s proprietary transportation platform that provides reliable and high-quality Non-Emergency Medical Transportation …

Equality Health

HealthBI Doubled Revenue for CareEmpower Care Coordination Platform in 2019 | PR Newswire | 1/8/2020

PHOENIX HealthBI®, the technology division of Equality Health, announced today that its CareEmpower® platform experienced another year of record growth, doubling revenue in 2019. Its broad market reach—available to over 70,000 provider practices—expanded even further this year with a 50 percent increase in members covered. The platform now enables the delivery of proactive, preventive care for nearly 20 million members in Medicaid managed plans, Medicare Advantage, and commercial …

Apple Health

Magellan Health’s Arm Expands Its Suite of Health Solutions | Zacks | 1/6/2020

… Free Report ) has announced that its unit Magellan Complete Care of Virginia extended its range of current offerings to provide Medicare Advantage Dual Special Needs Plan (D-SNP) for 2020.This project is specially designed … iPhone! It could become the mother of all technological revolutions. Apple sold a mere 1 billion iPhones in 10 years but a new breakthrough is expected to generate more than 27 billion devices in just …

Anthem, Inc.

Magellan Health’s Arm Expands Its Suite of Health Solutions - January 6, 2020 - Zacks.com | 1/6/2020

… Free Report ) has announced that its unit Magellan Complete Care of Virginia extended its range of current offerings to provide Medicare Advantage Dual Special Needs Plan (D-SNP) for 2020. This project is specially designed … Other companies, such as Centene Corporation ( CNC - Free Report ) and Anthem, Inc. ( ANTM - Free Report ) are also taking up strategic initiatives to boost their respective Medicare businesses. Shares of this Zacks Rank 4 (Sell) player …

Fitbit

DOJ to review Google’s Fitbit acquisition, 23andMe sued for $100M and more digital health news briefs | MobiHealthNews | 12/11/2019

… disappointment; Humana and Philips partner on MA member monitoring. December 11, 2019 Share Not so fast? Google’s plans to purchase Fitbit will soon be under the US Department of Justice’s lens. According to a New … technology company’s connected to help monitor and streamline care for Medicare Advantage members. The first will use Philips Lifeline’s AutoAlert fall detection platform and a predictive analytics system, while the second will deploy Philips’ remote …

Pfizer

Fitbit partners with WellCare of Georgia’s Medicaid plan with focus on chronic disease management | FierceHealthcare | 12/10/2019

… underserved population get healthier and better manage a chronic condition. Fitbit’s collaboration with Medicaid comes as more health plans, particularly Medicare Advantage plans, have begun to include wearable devices as an embedded benefit for their … RELATED: Fitbit collaborating with pharma giants Bristol-Myers Squibb and Pfizer 2019 has been a busy year for Fitbit as the company made several moves to expand its platform to more people. The company is …

Bristol-Myers Squibb

Fitbit partners with WellCare of Georgia’s Medicaid plan with focus on chronic disease management | FierceHealthcare | 12/10/2019

… underserved population get healthier and better manage a chronic condition. Fitbit’s collaboration with Medicaid comes as more health plans, particularly Medicare Advantage plans, have begun to include wearable devices as an embedded benefit for their … that strategy,” she wrote. RELATED: Fitbit collaborating with pharma giants Bristol-Myers Squibb and Pfizer 2019 has been a busy year for Fitbit as the company made several moves to expand its platform to more …

OptumRx

UnitedHealth’s Optum To Buy Diplomat Specialty Pharmacy For $300M | Forbes | 12/9/2019

… 300 million. The companies said Diplomat, which is a provider of specialty pharmacy and infusion services, will combine with the OptumRx pharmacy benefit management company. Optum will pay Diplomat “$4.00 per share through a cash … the nation’s largest health insurance company, selling commercial, Medicaid and Medicare Advantage plans, its finding growth on the medical care provider side of the healthcare system. Optum owns one of the nation’s largest pharmacy benefit …

HealthMine

Jane Sarasohn-Kahn, leading health economist and communicator, and HealthMine CMO, Nicole Althaus, to Present “The Evolution of Digital Health for Medicare Advantage Beneficiaries” at the AHIP Consumer Experience & Digital Health Forum | PR Newswire | 12/5/2019

Sverige Jane Sarasohn-Kahn, leading health economist and communicator, and HealthMine CMO, Nicole Althaus, to Present “The Evolution of Digital Health for Medicare Advantage Beneficiaries” at the AHIP Consumer Experience & Digital Health Forum Attendees will learn how to accelerate Baby Boomers into the digital health world, motivating them to take health actions; The session is December 10th at the AHIP Consumer Experience & Digital Health Forum from 1:55-2:40pm at the Swissotel …

Optum

(USA-CA-Van Nuys) Podiatrist - February 2020: 1-2 Month Coverage - San Fernando Valley | 12/4/2019

… Optum) is seeking a Per Diem Podiatrist to provide coverage in the month of February 2020. The position could potentially extend through March, based on needs.HCP is a value-based care organization and this position would help support two current Podiatrists with patients referred as part of their annual wellness visits. We see mainly adults and Medicare Advantage seniors and do basic bread and butter clinical and procedural Podiatry.Upon completion …

SilverSneakers

Tivity Health (NASDAQ:TVTY) Releases FY 2019 After-Hours Earnings Guidance | 12/4/2019

SilverSneakers senior fitness program to the members of Medicare advantage, Medicare supplement; and Prime fitness, a fitness facility access program through commercial health plans and employers …

Tivity Health

Tivity Health (NASDAQ:TVTY) Releases FY 2019 After-Hours Earnings Guidance | 12/4/2019

Tivity Health (NASDAQ:TVTY) Releases FY 2019 After-Hours Earnings Guidance Posted by Amber Abramson on Dec 3rd, 2019 Tweet Tivity Health (NASDAQ:TVTY) updated its FY 2019 After-Hours earnings guidance on Monday. The … company offers SilverSneakers senior fitness program to the members of Medicare advantage, Medicare supplement; and Prime fitness, a fitness facility access program through commercial health plans and employers …

Uber Health

Alignment Healthcare Expands Its ACCESS On-Demand Concierge Program for Seniors With Uber Health Agreement | Malvern Daily Record | 12/3/2019

Alignment Healthcare, a mission-based Medicare Advantage insurance company founded in 2013, today announced an agreement with Uber Health, a HIPAA-secure solution that allows health care providers to arrange rides for those who need it most. As an extension of Alignment’s ACCESS On-Demand Concierge program, an around-the-clock service the company provides to its California plan members at no additional cost, Uber Health will augment the “on …

Change Healthcare

LIFESPRK AND NORTH MEMORIAL HEALTH PARTNER TO DELIVER VALUE-BASED POPULATION HEALTH SOLUTION SYSTEM WIDE | Globe Newswire | 12/3/2019

… Lifesprk Health whole person primary care, assumed risk for managing nearly 6,000 Twin City seniors who have enrolled in a Medicare Advantage plan to decrease health care spend and increase engagement and health outcomes, and … At North Memorial Health, we are on a mission to change healthcare. We’re delivering unmatched customer service and empowering our customers throughout the Twin Cities to achieve their best health. North Memorial Health offers a …

Provation

LIFESPRK AND NORTH MEMORIAL HEALTH PARTNER TO DELIVER VALUE-BASED POPULATION HEALTH SOLUTION SYSTEM WIDE | Globe Newswire | 12/3/2019

… worked together to transition North Memorial Health’s TotalCare for Seniors primary care to Lifesprk Health whole person primary care, assumed risk for managing nearly 6,000 Twin City seniors who have enrolled in a Medicare Advantage plan to decrease health care spend and increase engagement and health outcomes, and integrated services across the North Memorial Health system including primary/specialty care, ED and hospital, and community paramedics program. About Lifesprk Based …

Piper Jaffray

Repealing insurance tax could help Medicare Advantage insurers | Modern Healthcare | 12/17/2019

… care insurers are reimbursed for the tax by the states they contract with. But in the fiercely competitive, fast-growing Medicare Advantage market, insurers have historically absorbed at least part of the tax to keep … Sarah James, a senior research analyst with financial services firm Piper Jaffray. About a third of Medicare beneficiaries, or 22 million people, are enrolled in Medicare Advantage plans. Many have been taking advantage of CMS …

HealthCare Partners

Provident Healthcare Partners Announced As Winner Of The 18th Annual M&A Advisor Awards | PR Newswire | 12/11/2019

… Healthcare Partners (Provident) was named a winner for the Corporate/Strategic Deal of the Year ( $250 - $500M ). Provident won for representing Peoples Health Inc. in its acquisition by UnitedHealthcare, a division of UnitedHealth Group. Peoples Health is a Medicare Advantage Organization that administers health benefits to over 63,000 beneficiaries in Louisiana . Provident served as exclusive investment banking advisor to Peoples Health. Provident was also named as a finalist for Healthcare …

Andreessen Horowitz

30 companies worth at least $1 billion that didn’t exist 10 years ago | Business Insider | 12/4/2019

… launched in San Francisco, the company went on to raise around $5 billion from big-name investors like General Motors, Andreessen Horowitz, and Google’s parent company Alphabet, before eventually going public at $72 a share … Schlosser announced Oscar’s marketplace would start selling Obamacare plans, including Medicare Advantage plans, in 12 new markets starting in 2020 . Additional reporting by Lydia Ramsey and Clarrie Feinstein. Robotic food-preparation company Zume, known for …

Social Capital

Community Calendar, Dec. 1 | Lifestyles | greensboro.com | 12/1/2019

… advance at 336-373-4816, Ext. 265 or . Seniors’ Health Information Program: Assists people with Medicare, Medicare Part D, Medicare supplements and Medicare Advantage plans. Free counseling. Bob Boyd, Guilford County SHIIP Coordinator, 336-373-4816, Ext. 253. Triad … Florida St., GB. Laverne Carter, 336-272-2161. Elite of the Triad, Social Capital Collaboration Group: 5-8 p.m. Fridays, Boston’s House of Jazz, 422 N. Edgeworth St., GB. Mission: Fostering collaboration among professionals to create opulence through …

Citigroup

Owl Creek Asset Management L.P. Makes New Investment in Cigna Corp (NYSE:CI) | 11/30/2019

… Cigna from $180.00 to $205.00 and gave the stock a “buy” rating in a research note on Wednesday, November 6th. Citigroup reissued a “buy” rating and issued a $221.00 price target (up from $203.00) on … other products and services to insured and self-insured clients; Medicare Advantage, Medicare Supplement, and Medicare Part D plans to Medicare-eligible beneficiaries, as well as Medicaid plans; and health insurance coverage to individual customers …

General Atlantic

Follow the Money: ULURU Raises $690K, RevTech Backs Pensa’s $10M Round; HMS Makes $155M Acquisition | 11/29/2019

… Anywhere’s total raised to date to $840 million a year after the firm secured $550 million from SoftBank Investment Advisers, General Atlantic, Goldman Sachs, NEA, World Innovation Lab, and Workday Ventures, Automation Anywhere said. MERGERS … its breadth of perspective and retrospective claims accuracy services for Medicare Advantage and commercial health plans. Harbour Group acquires Dallas IoT tech company SpotSee Harbour Group has acquired SpotSee, the longtime Dallas-based developer and …

SunTrust Bank

John Partridge Sells 3,300 Shares of Cigna Corp (NYSE:CI) Stock - WKRB News | 11/27/2019

… post 16.93 EPS for the current fiscal year. CI has been the topic of a number of recent analyst reports. SunTrust Banks increased their price target on shares of Cigna from $230.00 to $250.00 and … other products and services to insured and self-insured clients; Medicare Advantage, Medicare Supplement, and Medicare Part D plans to Medicare-eligible beneficiaries, as well as Medicaid plans; and health insurance coverage to individual customers …

TPG Capital

WellSky Partners with Leading Post-Acute Care Providers to Launch WellSky REACH — a Groundbreaking Technology and Services Platform Powering Payer-Provider Collaboration | Malvern Daily Record | 11/19/2019

… coordination across historically siloed healthcare stakeholders. “Today, 1 out of every 3 post-acute patients is a member of a Medicare Advantage plan. That number is expected to increase to 1 in 2, which will … individuals’ unique health and social circumstances. A portfolio company of TPG Capital, WellSky serves more than 10,000 client sites around the world — including the largest hospital systems, blood banks and labs, home health and hospice …

Warburg Pincus

We just got a look at the latest financials for health startups like Bright and Oscar. They reveal the challenges facing the insurers as they keep growing their footprints. | Business Insider | 11/19/2019

… startups mainly sell health insurance to individuals in the Affordable Care Act’s markets and to seniors in the form of Medicare Advantage health plans. The companies have been raising funds from investors to support their … Alignment is backed by private equity firms General Atlantic and Warburg Pincus and has raised more than $200 million . The slides below have more information about each company’s funding, financials, and expansion plans. Bright Health …

Zacks Equity Research

Humana (HUM) Scales New 52-Week High on Solid Q3 Earnings | Zacks | 11/18/2019

You follow Analyst Blog - edit You follow Zacks Equity Research - edit What would you like to follow? Zacks Equity Research Cancel Read More Hide Full Article Shares of Humana Inc. ( HUM - Free Report ) hit a … by 9.8%. This upside can primarily be attributed to its Medicare Advantage (MA) membership growth and higher revenues.The company’s Medicare business has been performing strongly over the last many quarters. Impressive growth in the Medicare …

William Blair

FY2019 Earnings Estimate for Tivity Health Inc (NASDAQ:TVTY) Issued By William Blair | 11/17/2019

Tivity Health Inc (NASDAQ:TVTY) – Analysts at William Blair decreased their FY2019 earnings per share (EPS) estimates for Tivity Health in a research report issued on Wednesday, November 13th. William Blair analyst R. Daniels now … company offers SilverSneakers senior fitness program to the members of Medicare advantage, Medicare supplement; and Prime fitness, a fitness facility access program through commercial health plans and employers. Read More: Channel Trading Receive News & Ratings …

RBC Capital Markets

Google Alert - target | 11/16/2019

… Target to $50 TheStreet.com Advanced Micro Devices (AMD - Get Report) was climbing 1.75% to $39.02 Friday after an analyst at RBC Capital Markets increased his price target … Flag as irrelevant I-Team: How White Nationalists … Flag as irrelevant Loneliness has become a big target for Medicare Advantage insurers. Here’s what they’re doing … FierceHealthcare As health plans get longer leashes when it comes to addressing social determinants of health, loneliness among …

Zacks Investment Research

CVS Health’s New Plans With Aetna May Improve Health Outcomes | MSN | 11/15/2019

… in identifying high-risk candidates. The company’s outreach program, Resources For Living, which is accessible to all members of Aetna Medicare Advantage and their caregivers, will provide further support to the high-risk candidates. The … after CVS Health acquired Aetna in November 2018. © Provided by Zacks Investment Research Inc “ Per the company, social connection is an important determinant of health for most people, but especially for the Medicare population. The …

Goldman Sachs

Kidney hormone replacement recovery, order estradiol pharmacy canada | 11/9/2019

… sometimes combined with other hormones. Is estradiol covered by Medicare? Does Medicare cover estradiol ? 99% of Medicare Part D and Medicare Advantage plans cover this drug. EXCLUSIVE The 90-second clip from Boots plays on … it flourish, becoming its flinty public face in ads. The Goldman Sachs board of directors is supposed to keep management in check, but Reuters’ blogger Felix Salmon says it is stacked with company insiders, conflicting …

Morgan Stanley

Edmp Inc. Increases Position in Cigna Corp (NYSE:CI) | 11/9/2019

… 254.00 target price on Cigna and gave the stock a “buy” rating in a research report on Tuesday, September 10th. Morgan Stanley boosted their target price on Cigna from $207.00 to $208.00 and gave the … other products and services to insured and self-insured clients; Medicare Advantage, Medicare Supplement, and Medicare Part D plans to Medicare-eligible beneficiaries, as well as Medicaid plans; and health insurance coverage to individual customers …

BlackRock

Tivity Health (NASDAQ:TVTY) Stock Rating Upgraded by BidaskClub | 11/8/2019

… A number of hedge funds and other institutional investors have recently added to or reduced their stakes in the business. BlackRock Inc. lifted its holdings in Tivity Health by 4.8% in the 2nd quarter. BlackRock … company offers SilverSneakers senior fitness program to the members of Medicare advantage, Medicare supplement; and Prime fitness, a fitness facility access program through commercial health plans and employers …

Cambia Health Solutions

Scott Powers Appointed as New CEO for Elara Caring | 11/6/2019

On September 27, Elara Caring announced, effective immediately, that Scott Powers has been appointed as Chief Executive Officer. Scott Powers received both his undergraduate and graduate degrees from Arizona State University. He was most recently the President and Chief Operating Officer at Alignments Healthcare, a company focused on providing senior citizens with Medicare Advantage plans. Powers has also served in senior executive roles and Intel Corporation, Cambia Health Solutions, Regence …

SVB Leerink

HMS Holdings Corp. (HMSY) CEO Bill Lucia on Q3 2019 Results - Earnings Call Transcript | Seeking Alpha | 11/1/2019

… Suisse Jamie Stockton - Wells Fargo Richard Close - Canaccord Genuity Donald Hooker - KeyBanc David Windley - Jefferies Charlie Strauser - CJS Daniel Grosslight - SVB Leerink Stephanie Demko - Citi Vikram Kesavabhotla - Guggenheim Securities Operator Ladies and gentlemen thank you … to expand COB and PI services to both commercial and Medicare advantage plans. Recent data from Kaiser Family Foundation highlighted that the uninsured rate has been rising since 2017 and now approximately 15 million uninsured …

Merrill Lynch

Molina Healthcare Inc. (MOH) CEO Joe Zubretsky on Q3 2019 Results - Earnings Call Transcript | Seeking Alpha | 10/30/2019

… Stephens Inc. Peter Costa - Wells Fargo Securities Josh Raskin - Nephron Research Justin Lake - Wolfe Research Kevin Fischbeck - Bank of America/Merrill Lynch Stephen Tanal - Goldman Sachs Cal Sternick - Cowen and Company Steven Valiquette - Barclays Matthew … particularly Medicaid, high acuity and duals and probably not traditional Medicare advantage. So we’re going to stay very disciplined to our core product line. We really do seek out underperforming businesses because of our proven …

Wells Fargo Securities

Molina Healthcare Inc. (MOH) CEO Joe Zubretsky on Q3 2019 Results - Earnings Call Transcript | Seeking Alpha | 10/30/2019

… Zubretsky - President and Chief Executive Officer Tom Tran - Chief Financial Officer Conference Call Participants Scott Fidel - Stephens Inc. Peter Costa - Wells Fargo Securities Josh Raskin - Nephron Research Justin Lake - Wolfe Research Kevin Fischbeck - Bank of … particularly Medicaid, high acuity and duals and probably not traditional Medicare advantage. So we’re going to stay very disciplined to our core product line. We really do seek out underperforming businesses because of our proven …

T. Rowe Price

3 Reasons to Consider Making Changes During Medicare Open Enrollment | Yahoo News | 10/17/2019

… enrollment period, which runs from Oct. 15 to Dec. 7: Switch from Original (Traditional) Medicare (Parts A and B) to Medicare Advantage (Part C), or vice versa. Switch from one Medicare Advantage plan to another … Banerjee. “ A New Way to Calculate Retirement Health Care Costs ,” T. Rowe Price, February 2019. Estimates based on projected 2019 Medicare premiums and data from the Health and Retirement Study (HRS). All costs are rounded …

Venrock

The mad rush to sell private Medicare plans to seniors | 10/11/2019

The mad rush to sell private Medicare plans to seniors Written By: Bloomberg Oct 10th 2019 - 7pm. Medicare Advantage plans are rushing to sign up customers after new regulations allow them to offer more non … 20 years,” said Bob Kocher, a partner at venture firm Venrock. The firm backed Devoted Health and Kocher served as the company’s chief medical officer for a year. “There should be a lot of pent …

Initialized Capital

Papa Announces $10 Million Series A Round and Partnerships with Large Health Insurance Plans to Curb Loneliness and Social Isolation in Seniors | PR Newswire | 10/9/2019

… A round led by Canaan, with additional investment from Pivotal Ventures, an investment and incubation company created by Melinda Gates . Initialized Capital, Y Combinator, and Sound Ventures re-invested in the round. In addition, Papa … type of intervention may be beneficial to members in our Medicare Advantage markets. We know that living conditions significantly influence health outcomes, and Papa is both helping seniors improve their day-to-day lives while …

Pivotal Ventures

Floridian company matching seniors to college students raises $10M | MobiHealthNews | 10/9/2019

Papa’s Series A round was led by Canaan with participation from Pivotal Ventures, Initialized Capital, Y Combinator and Sound Ventures. Floridian company matching seniors to college students raises $10M This morning Papa, a startup connecting … November it partnered with Humana to support those covered under Medicare Advantage. It also struck a deal with medication adherence company AdhereHealth , so that the latter’s payer-focused platform will include the option to deploy …

New Mountain Capital

Signify Health, Remedy Partners announce merger to create unified value-based payment platform | FierceHealthcare | 8/21/2019

… that collaborates with healthcare organizations to launch bundled payment programs. The combination of the two companies — both portfolio companies of New Mountain Capital — will create a unified value-based payment platform for health plans, health … healthcare services in the home to over a million unique Medicare Advantage members each year. RELATED: Signify Health buys social determinants technology company TAV Health In March the company acquired technology company TAV Health to …

Massachusetts General Hospital

How MA Special Needs Plans Could Reinvent Homeless Healthcare | HealthPayer Intelligence | 3/13/2020

Public Payers News How MA Special Needs Plans Could Reinvent Homeless Healthcare With its increased flexibilities, the Medicare Advantage special needs plan would be better equipped to serve the diverse demands of homeless healthcare. Source … health plan based in Los Angeles, partnered with SNP Alliance, Massachusetts General Hospital, and other academic, professional, and nonprofit healthcare organizations to come up a homelessness-focused special needs plan under Medicare Advantage. CMS and …

HCA Healthcare

Chutes and Ladders—Cigna names new MA exec; HCA picks new hospital CEO upon hospital purchase | FierceHealthcare | 3/6/2020

… each week. Gina Conflitti, M.D. (Cigna) Cigna Gina Conflitti, M.D. , was named chief medical officer for Cigna’s rapidly expanding national Medicare Advantage (MA) business. Conflitti will be responsible for leading the development of Cigna’s clinical … University of Massachusetts Isenberg School of Management. Jeff Scionti (HCA) HCA Healthcare Jeff Scionti was named CEO of Frisbie Memorial Hospital in Rochester, New Hampshire, upon the completed sale of the hospital to HCA Healthcare

Ascension

BCBS MI, Provider Orgs Sign Risk-Sharing, Value-Based Contracts | HealthPayer Intelligence | 12/17/2019

… new model, the seven major healthcare providers, which represent 30 percent of Blue Cross’s commercial preferred provider organizations (PPOs) and Medicare Advantage (MA) market, have agreed to a more value-based reimbursement model. The model … Cross members, Blue Cross said. The seven healthcare providers include Ascension Michigan, Henry Ford Health System which acquired its own Medicaid health plan this year, Michigan Medicine, and others. “Health systems and physician organizations that …

Mayo Clinic

Health Care costs in Retirement - Page 2 - Morningstar Community - 16566 | 12/4/2019

yogibearbull wrote: Medicare Advantage [MA] may be a one-way street for many. There is only 1-yr period to test MA and change back to original Medicare + Medigap on guaranteed-issue basis. Beyond 1 … hospital system rating article and quickly homed in on the Mayo Clinic in MN, supported by a very favorable impression I got from previously accompanying a kid there for a fairly serious issue. The head …

HCA

State Highlights: Worried About Homelessness In Big Cities, Boise Court Case Would Test ‘Policing’; Georgia Waits For Public To Comment On Plans To Overhaul Health Care | Kaiser Health News | 12/3/2019

… Healthcare: Centene To Sell Illinois Plan To CVS Health Health insurer Centene Corp. announced plans on Monday to sell its Illinois health plan subsidiary to CVS Health to help secure state approval for its proposed merger with WellCare Health Plans. Centene said its sale of IlliniCare Health Plan includes Medicaid and Medicare Advantage, but Centene will keep its Medicare-Medicaid Alignment Initiative business and a statewide foster-care contract set …

Highmark Health

Home health agencies expanding, rolling out more telehealth services | Healthcare Dive | 12/3/2019

… baby boomers. CMS also is enabling the industry’s growth and diversity of service offerings. For example, the agency began allowing Medicare Advantage plans to offer non-skilled, in-home support to their chronically ill beneficiaries … threatening conditions, has inked contracts with Ascension, CommonSpirit Health, and Highmark Health

NYC Health

Covenant House seeks to expand mental health services | Crain’s New York Business | 12/3/2019

… also address any serious mental health issues, Benowitz said. —Jennifer Henderson H+H shifting substance-use care to outpatient model NYC Health + Hospitals said it is closing its inpatient detox units at seven hospitals across … DEAL: CVS Health has agreed to buy the Medicaid and Medicare Advantage lines of business from Centene’s Illinois insurer, IlliniCare, Forbes reported . PREVALENCE OF PREDIABETES: Nearly one in five adolescents aged 12 to 18 , and …

CommonSpirit Health

Home health agencies expanding, rolling out more telehealth services | Healthcare Dive | 12/3/2019

… baby boomers. CMS also is enabling the industry’s growth and diversity of service offerings. For example, the agency began allowing Medicare Advantage plans to offer non-skilled, in-home support to their chronically ill beneficiaries … from non-life-threatening conditions, has inked contracts with Ascension, CommonSpirit Health, and Highmark Health …

Boston Medical Center

Alignment Healthcare Expands Its ACCESS On-Demand Concierge Program for Seniors With Uber Health Agreement | Malvern Daily Record | 12/3/2019

Alignment Healthcare, a mission-based Medicare Advantage insurance company founded in 2013, today announced an agreement with Uber Health, a HIPAA-secure solution that allows health care providers to arrange rides for those who need … solutions. Over 1,000 health care organizations like ALC Solutions, Cerner, Boston Medical Center, and MedStar trust Uber Health to provide reliable transportation to those they care for. For more, visit uberhealth.com . ABOUT ALIGNMENT HEALTHCARE Alignment …

Premier Health

Centene and CVS Health Announce Agreement for CVS Health to Acquire IlliniCare Health | PR Newswire | 12/2/2019

… acquire Centene’s Illinois health plan subsidiary, IlliniCare Health Plan, Inc. (“IlliniCare”). The transaction entails the sale of Centene’s Medicaid and Medicare Advantage lines of business in Illinois . Centene will retain IlliniCare’s Medicare-Medicaid Alignment Initiative … agreed to combine in a transaction that will create a premier healthcare enterprise focused on government-sponsored healthcare programs and a leader in Medicaid, Medicare and the Health Insurance Marketplace. The combination has received approvals …

Meridian Health

Centene to sell Illinois plan to CVS Health | Modern Healthcare | 12/2/2019

… approval for its proposed merger with WellCare Health Plans. Centene said its sale of IlliniCare Health Plan includes Medicaid and Medicare Advantage, but Centene will keep its Medicare-Medicaid Alignment Initiative business and a statewide … in Illinois, should the WellCare merger ultimately close. WellCare owns Meridian Health Plan, the largest provider of Medicaid managed-care services in the state, covering 774,000 enrollees. Without the divestiture, a combined Centene and WellCare …

Gundersen Health System

QUARTZ HEALTH SOLUTIONS / SHINE UNITED - Ad from 2019-12-01 | Medical Care | lacrossetribune.com | 12/1/2019

QUARTZ HEALTH SOLUTIONS / SHINE UNITED - Ad from 2019-12-01 5 hrs ago 202 NORTH HENRY STREET, MADISON, WI 53703 608-442-7373 Medicare Annual Enrollment Period runs October 15 - December 7. Medicare Plans That Work to Your Advantage Choose the 5-Star Medicare Advantage plan that gives you Benefits include: access to personalized customer service and high-quality care from the hospitals and clinics of Gundersen Health System. For For the las lastt …

LHC Group

Teladoc (TDOC) Up 73% Year to Date: Will the Rally Continue? - November 29, 2019 - Zacks.com | 11/29/2019

… markets, the aging U.S. population, which is likely to drive demand for telehealth services and its efforts to grow in Medicare advantage business. Factors to Drive Growth Teladoc posted a positive EBITDA for the first … Inc. ( AMEH - Free Report ) , HealthEquity, Inc. ( HQY - Free Report ) and LHC Group, Inc. ( LHCG - Free Report ) . Each of these stocks carries a Zacks Rank 2 (Buy). You can see the complete list of today’s Zacks …

UPMC

Health Care Reform Articles - November 25, 2019 | 11/26/2019

… pretty well diversified so that if suddenly the ‘Medicare for All’ thing happened, and companies like United and Highmark and UPMC and Aetna were brushed aside, I would still have something to do,” Schermer said … improving the health of millions of Medicare beneficiaries. Stop private Medicare Advantage plans from bilking taxpayers. Roughly one-third of Medicare beneficiaries get coverage through a private Medicare Advantage plan. Medicare payments to these plans …

Allegheny Health Network

Health Care Reform Articles - November 25, 2019 | 11/26/2019

… saturated Pittsburgh’s health care market, with the iconic UPMC brand operating a health insurance arm, and Highmark BCBS running the Allegheny Health Network system of hospitals and clinics. Both companies declined to comment on the … improving the health of millions of Medicare beneficiaries. Stop private Medicare Advantage plans from bilking taxpayers. Roughly one-third of Medicare beneficiaries get coverage through a private Medicare Advantage plan. Medicare payments to these plans …

University of Pittsburgh Medical Center

Health Care Reform Articles - November 25, 2019 | 11/26/2019

… the health care industry in southwestern Pennsylvania is inescapable. Hospitals and clinics controlled by two competing health care behemoths, the University of Pittsburgh Medical Center and Highmark Blue Cross Blue Shield, dot Pittsburgh’s streets. The … improving the health of millions of Medicare beneficiaries. Stop private Medicare Advantage plans from bilking taxpayers. Roughly one-third of Medicare beneficiaries get coverage through a private Medicare Advantage plan. Medicare payments to these plans …

Mount Sinai Health System

Tuning Healthcare, Episode 2: Designing Tomorrow’s Health System | 11/26/2019

Niyum Gandhi, Executive Vice President and Chief Population Health Officer, Mount Sinai Health System As a population health expert tasked with helping New York’s Mount Sinai Health System transition to value-based arrangements, Executive Vice … a collaborative payer instead of trying to start their own Medicare Advantage plan, What health systems need to do to engage physicians, and Why health systems must focus on building a highly effective primary care …

Sinai Health System

Tuning Healthcare, Episode 2: Designing Tomorrow’s Health System | 11/26/2019

Niyum Gandhi, Executive Vice President and Chief Population Health Officer, Mount Sinai Health System As a population health expert tasked with helping New York’s Mount Sinai Health System transition to value-based arrangements, Executive Vice … a collaborative payer instead of trying to start their own Medicare Advantage plan, What health systems need to do to engage physicians, and Why health systems must focus on building a highly effective primary care …

Genesis Healthcare

Humana, Epione Tie Up to Aid Medicare Advantage Members | Zacks | 11/26/2019

Humana, Epione Tie Up to Aid Medicare Advantage Members Zacks Equity Research You follow Analyst Blog - edit You follow Zacks Equity Research - edit What would you like to follow? Zacks Equity Research Cancel Read More … Free Report ) , WellCare Health Plans, Inc. ( WCG - Free Report ) and Genesis Healthcare, Inc. ( GEN - Free Report ) . You can see the complete list of today’s Zacks 1 Rank (Strong Buy) stocks here. Select Medical Holdings operates …

UMass Memorial Health Care

Health Care Reform Articles - November 25, 2019 | 11/26/2019

… clearly expand the medically necessary dental services Medicare can provide, improving the health of millions of Medicare beneficiaries. Stop private Medicare Advantage plans from bilking taxpayers. Roughly one-third of Medicare beneficiaries get coverage through … care plan he had seen all year. Dickson, who runs UMass Memorial Health Care, a large Central Massachusetts hospital system, says a national single-payer program could remedy many of the problems in American health …

University of Rochester

Medicare drug plan finder can steer seniors to higher costs - The Morning Call | Chicago Tribune | 11/22/2019

Medicare Advantage medical plans. “The new plan finder is in many ways improved, but it did take a meaningful step backward by not doing more to highlight its most useful output— the total cost estimate,” said Brian McGarry, an assistant professor at the University of Rochester in New York. He’s the lead author of a recent online article about the plan finder for Health Affairs. Seniors have until Dec. 7 …

Allina Health

AM Best Affirms Credit Ratings of CVS Health Corporation’s Aetna Subsidiaries on Stocks News Feed | 11/21/2019

… of Texas Health + Aetna Health Insurance Company and Texas Health + Aetna Health Plan, Inc., (collectively Texas Health Aetna), and the Allina Health and Aetna Insurance Company, both of which are joint ventures with subsidiaries of … Best notes that this group has reported consistent increase in Medicare Advantage premiums with double-digit growth. Some of this favorability is offset by losses in commercial fully insured business. Furthermore, SilverScript Insurance Company, a …

Kaiser Permanente

Kaiser gets five stars for Medicare | 11/21/2019

Personal Finance/Business/Products Kaiser Permanente Washington is among the nation’s best healthcare providers for Medicare patients, according to the Centers for Medicare and Medicaid Services’ annual ratings of care and service in the Medicare system. Kaiser was the only health plan in Washington to receive a five-star rating, the highest possible. Nationally, seven of Kaiser’s eight Medicare Advantage health plans received the the top ranking. The overall scores …

Sutter Health

Alignment Healthcare shines amid peers’ financial performance - Business Insider | 11/20/2019

… its first year offering plans. But Alignment Healthcare enjoyed a marked turnaround from last year: The insurtech — which covers 61,000 Medicare Advantage (MA) beneficiaries in California, North Carolina, and Florida — roped in $506 million in … company says a major partnership with California-based health system Sutter Health — which is comprised of 24 hospitals and cares for over 3 million patients — will be largely responsible for impending growth. The deal, announced …

Intermountain Healthcare

The success of Medicare Advantage makes it a better policy choice than ‘Medicare for All’ - MarketWatch | 11/20/2019

… TV or open their mailbox from late October through November can’t escape advertisements from private health insurers offering so-called Medicare Advantage plans on behalf of the federal government. The process may be mildly annoying … are integrated systems such as Kaiser Permanente in the West, Intermountain Healthcare in Salt Lake City and Geisinger Health in Pennsylvania. They each rely on coordinated, team-based care, with access to transparent data on …

Aetna

Aetna Medicare Advantage plans 2021 | Aetna Medicare Advanta… | Flickr | 4/27/2020

Aetna Medicare Advantage plans 2021 …

Humana

Humana aims to ease administrative, financial burdens on providers amid COVID-19 crisis | FierceHealthcare | 4/2/2020

Humana aims to ease administrative, financial burdens on providers amid COVID-19 crisis by Apr 2, 2020 10:06am Humana is announcing new provider supports amid the COVID-19 pandemic. (Humana) Humana is launching new initiatives … cost of treatment and testing for COVID-19 in its Medicare Advantage, Medicaid and fully-insured commercial plans. It’s also nixing member costs for in-network telehealth visits and reimbursing docs for audio-only or …

Cigna

AHA wants private payers to do more to help hospitals fight COVID-19. Payers say they’ve done a lot already | Healthcare Dive | 4/2/2020

Healthcare , Cigna, payer lobby America’s Health Insurance Plans and the Blue Cross Blue Shield Association outlining a series of new asks as hospitals scrounge for funds to shore up high-demand resources like personal protective … in 2018, Grow said, and doesn’t factor in costs to Medicare Advantage or Medicaid managed care plans. Many private payers waived co-payments for COVID-19 diagnostics in a bid to get more Americans tested …

UnitedHealthcare

VC-backed startups are all competing for customers in the red-hot Medicare Advantage market. Here’s our first look at how Oscar, Devoted, and Bright stack up. | Business Insider | 2/13/2020

… Devoted Health, Alignment Healthcare and Bright Health have raised hundreds of millions as they’ve expanded their reach into the competitive Medicare Advantage markets. Business Insider rounded up how each insurer fared during its enrollment period … Alignment Healthcare — are going up against giants in the industry. UnitedHealthcare for instance, had nearly 5.3 million members enrolled in Medicare Advantage plans at the end of 2019, while Humana had 3.6 million, and Aetna …

Clover Health

VC-backed startups are all competing for customers in the red-hot Medicare Advantage market. Here’s our first look at how Oscar, Devoted, and Bright stack up. | Business Insider | 2/13/2020

Bright Health CEO Bob Sheehy, Devoted Health co-founder and executive chairman Todd Park, Clover Health CEO Vivek Garipalli, and Oscar Health CEO Mario Schlosser. Bright Health; Alex Wong/Getty; Clover Health; Oscar Health; Shayanne … of millions as they’ve expanded their reach into the competitive Medicare Advantage markets. Business Insider rounded up how each insurer fared during its enrollment period going into 2020, based on government filings and other data …

Oscar Health

VC-backed startups are all competing for customers in the red-hot Medicare Advantage market. Here’s our first look at how Oscar, Devoted, and Bright stack up. | Business Insider | 2/13/2020

… Bright Health CEO Bob Sheehy, Devoted Health co-founder and executive chairman Todd Park, Clover Health CEO Vivek Garipalli, and Oscar Health CEO Mario Schlosser. Bright Health; Alex Wong/Getty; Clover Health; Oscar Health; Shayanne … of millions as they’ve expanded their reach into the competitive Medicare Advantage markets. Business Insider rounded up how each insurer fared during its enrollment period going into 2020, based on government filings and other data …

Wellcare

Centene’s ‘Insatiable Appetite’ For Deals Remains After WellCare Purchase | Forbes | 2/5/2020

Health insurer Centene will be on the lookout for potential acquisitions after integrating its biggest-ever purchase in WellCare Health Plans. Centene’s Michael Neidorff says 2020 will be focused on “organic growth” and integrating WellCare … grew its Medicaid business as well as its enrollment in Medicare Advantage, which provides health coverage to seniors via contracts with the federal government. “We are very driven by organic growth,” Neidorff said. “We had …

Peoples Health

Provident Healthcare Partners Announced As Winner Of The 18th Annual M&A Advisor Awards | PR Newswire | 12/11/2019

Peoples Health Inc. in its acquisition by UnitedHealthcare, a division of UnitedHealth Group. Peoples Health is a Medicare Advantage Organization that administers health benefits to over 63,000 beneficiaries in Louisiana . Provident served as exclusive investment banking advisor to Peoples Health. Provident was also named as a finalist for Healthcare and Life Sciences Deal of the Year ( $100M - $1B ) and M&A Deal of the Year ( $250M to $500M ). “Since 2002 …

Wellcare Health Plans

CVS Health to buy Illinois insurance unit | Seeking Alpha | 12/4/2019

Centene is selling its Illinois Medicaid and Medicare Advantage business lines to CVS Health in order to facilitate its more than $15 billion purchase of WellCare Health Plans. Centene is selling its Illinois Medicaid and Medicare Advantage business lines to CVS Health in order to facilitate its more than $15 billion purchase of WellCare Health Plans. The Centene unit is one of six private insurers awarded contracts to administer Medicaid …

WellCare Health

CVS Health to buy Illinois insurance unit | Seeking Alpha | 12/4/2019

Centene is selling its Illinois Medicaid and Medicare Advantage business lines to CVS Health in order to facilitate its more than $15 billion purchase of WellCare Health Plans. Centene is selling its Illinois Medicaid and Medicare Advantage business lines to CVS Health in order to facilitate its more than $15 billion purchase of WellCare Health Plans. The Centene unit is one of six private insurers awarded contracts to administer Medicaid …

Centene Corp

State Highlights: Worried About Homelessness In Big Cities, Boise Court Case Would Test ‘Policing’; Georgia Waits For Public To Comment On Plans To Overhaul Health Care | Kaiser Health News | 12/3/2019

… Centene Corp. announced plans on Monday to sell its Illinois health plan subsidiary to CVS Health to help secure state approval for its proposed merger with WellCare Health Plans. Centene said its sale of IlliniCare Health Plan includes Medicaid and Medicare Advantage, but Centene will keep its Medicare-Medicaid Alignment Initiative business and a statewide foster-care contract set to begin in February. (Livingston, 12/2) Los Angeles Times: Peter Lynn …

Tufts Health Plan

Centene-WellCare Merger Prompts Sale of IL Medicaid and MA Plans | HealthPayer Intelligence | 12/3/2019

… Payers News Centene-WellCare Merger Prompts Sale of IL Medicaid and MA Plans Centene will sell its Illinois Medicaid and Medicare Advantage plans to CVS Health for an undisclosed amount due to Centene-WellCare merger … health plans seeking federal and state blessing for their future. Tufts Health Plan and Harvard Pilgrim have been defending their potential merger this week. When the announcement was first released, local news outlets emphasized the …

Fidelis Care

Centene and CVS Health Announce Agreement for CVS Health to Acquire IlliniCare Health | PR Newswire | 12/2/2019

… acquire Centene’s Illinois health plan subsidiary, IlliniCare Health Plan, Inc. (“IlliniCare”). The transaction entails the sale of Centene’s Medicaid and Medicare Advantage lines of business in Illinois . Centene will retain IlliniCare’s Medicare-Medicaid Alignment Initiative … Health Plans, Inc. (the “WellCare Transaction”), Centene’s recent acquisition (the “Fidelis Care Transaction”) of substantially all the assets of New York State Catholic Health Plan, Inc., d/b/a Fidelis Care New York (“ Fidelis Care

VIVA Health

Southeast Health, affiliate now offering new Medicare Advantage plan | WDHN - DothanFirst.com | 12/2/2019

Dec 2, 2019 / 04:11 PM CST / Updated: Dec 2, 2019 / 04:11 PM CST BIRMINGHAM, Ala. (WDHN) — Southeast Health is now offering a new Medicare Advantage plan in affiliation with VIVA Medicare, a division of Birmingham-based healthcare provider VIVA Health. This comes as the Dec. 7 deadline for Medicare recipients to choose a health plan approaches. The new 2020 plan, VIVA Medicare Me , offers “lower out-of-pocket costs and …

Meridian Health Plan

Centene to sell Illinois plan to CVS Health | Modern Healthcare | 12/2/2019

… approval for its proposed merger with WellCare Health Plans. Centene said its sale of IlliniCare Health Plan includes Medicaid and Medicare Advantage, but Centene will keep its Medicare-Medicaid Alignment Initiative business and a statewide … in Illinois, should the WellCare merger ultimately close. WellCare owns Meridian Health Plan, the largest provider of Medicaid managed-care services in the state, covering 774,000 enrollees. Without the divestiture, a combined Centene and WellCare …

HealthTeam Advantage

HEALTH TEAM ADVANTAGE/IN-HOUSE MEDIA | Other | greensboro.com | 12/1/2019

Ad details It’s the Medicare Annual Election Period! It’s time to choose your Medicare plan. It’s time to choose HealthTeam Advantage. Our affordable Medicare Advantage plans have the benefits and services you need to help maintain your health and well-being. Our $0 monthly premium PPO includes medical and prescription drug coverage, dental, vision, and hearing AND one of the lowest maximum out-of-pocket rates in North Carolina. We …

The Health Plan

Aging Matters: Pearl Harbor Rememberance week program Wednesday | 11/30/2019

… Health Plan Providers (United Healthcare, Healthy Blue, AmeriHealth Caritas, and Wellcare) will be available to provide information to Medicaid beneficiaries. The Health Plan Providers will be in the first floor conference room of the DSS … workshop will help people choose the correct drug and the Medicare Advantage plan and make changes. Trained counselors from the Seniors Health Insurance Information Program will be available to assist. Space is limited and appointments …

AmeriHealth

Aging Matters: Pearl Harbor Rememberance week program Wednesday | 11/30/2019

… help Medicaid beneficiaries choose a Prepaid Health Plan. Each of the four Prepaid Health Plan Providers (United Healthcare, Healthy Blue, AmeriHealth Caritas, and Wellcare) will be available to provide information to Medicaid beneficiaries. The Health … workshop will help people choose the correct drug and the Medicare Advantage plan and make changes. Trained counselors from the Seniors Health Insurance Information Program will be available to assist. Space is limited and appointments …

Amerihealth Caritas

Aging Matters: Pearl Harbor Rememberance week program Wednesday | 11/30/2019

… help Medicaid beneficiaries choose a Prepaid Health Plan. Each of the four Prepaid Health Plan Providers (United Healthcare, Healthy Blue, AmeriHealth Caritas, and Wellcare) will be available to provide information to Medicaid beneficiaries. The Health … workshop will help people choose the correct drug and the Medicare Advantage plan and make changes. Trained counselors from the Seniors Health Insurance Information Program will be available to assist. Space is limited and appointments …

Universal American

Medicare | Medicare Advantage Plans, Medicare Supplement Pla… | Flickr | 11/27/2019

Medicare Advantage Plans, Medicare Supplement Plans, Prescription Drug Plans, Final Expense Plans, Life Insurance in Texas, Humana, Cigna, UnitedHealthCare, Aetna, Universal American, Medicare Help, Enroll in Medicare finalexpenseblog.bravesites.com/entries/general/medicare …

MVP Health Care

Medicare Medical Savings Account (MSA) Medicare Advantage Plans – Bubble Wrap or Facebook Home? | 11/27/2019

Medicare Medical Savings Account (MSA) Medicare Advantage Plans – Bubble Wrap or Facebook Home? November 27, 2019 31 Some products look they may be doomed for failure until they find their true niche. Take Bubble wrap … the Kaiser Family Foundation . Only 4 insurers, including our client MVP Health Care, even offer these plans, and they are available in less than 20 states. An adoption growth rate that low certainly implies these …

Molina Healthcare

Radar On Market Access: National and Regional Players Make Dual Eligible SNP Moves | 11/26/2019

Through strategic acquisitions, product launches and geographic expansions, Medicare Advantage insurers across the U.S. are offering new Special Needs Plans (SNPs) aimed at improving the lives of members who are dually eligible for Medicare and … larger players such as Anthem, Inc., Centene Corp., Humana Inc., Molina Healthcare, Inc. and UnitedHealthcare are leading the charge, but numerous plans have been introduced on a local level. For instance, UCare, the largest provider …

CareSource

Google Alert - options | 11/26/2019

CareSource Shares Their Medicare Options , Deadline is Dec. 7 NBC4 WCMH-TV Sponsored Content by CareSource. The deadline to choose a Medicare Advantage plan is December 7th. That means you don’t have a lot of time left … Flag as irrelevant State reviewing options for large recharge site Post Register BOISE — The Idaho Water Resource Board heard a presentation from staff about potential locations for a large recharge basin in the …

UCare

Radar On Market Access: National and Regional Players Make Dual Eligible SNP Moves | 11/26/2019

Through strategic acquisitions, product launches and geographic expansions, Medicare Advantage insurers across the U.S. are offering new Special Needs Plans (SNPs) aimed at improving the lives of members who are dually eligible for Medicare and … plans have been introduced on a local level. For instance, UCare, the largest provider of SNPs in Minnesota, said it is expanding its UCare Connect + Medicare plans to mirror the 62-county UCare Connect service …

Indian Health Service

Medicare For All: Everything You Need To Know | 11/22/2019

Medicare Advantage plans managed by private insurers. Sen. Sanders’ Medicare for All won’t affect the Veterans’ Administration or Indian Health Service. It will, however, abolish TRICARE, the health care program for the military. The health care program of the United States Department of Defense Military Health System, TRICARE, provides civilian health benefits for U.S. Armed Forces military personnel, military retirees and their dependents, including some members of the Reserve Component …

Seema Verma

Telehealth gets a whole new boost from CMS - POLITICO | 4/1/2020

… GETS WHOLE NEW BOOST FROM CMS — CMS will pay for a wider range of telemedicine services during the coronavirus pandemic, Seema Verma said at a White House briefing this week. That includes remote patient monitoring … changes not only to fee-for-service, but also to Medicare Advantage and Medicaid — and also to keep them in place even after the emergency is over. It would be “unwise” to invest in developing …

Donald Trump

Cigna and Humana waive coronavirus treatment costs | CNBC | 3/30/2020

… FDA-approved medications and vaccines when they become available. They will apply to their privately insured individual and groups plans, Medicare Advantage and Medicaid members. “We’re taking this significant action to help ease the burden … to testing, came into focus on March 11 when President Donald Trump inadvertently declared that the insurers would be doing both during an Oval Office address . With three of the major carriers now committing to …

Ronald Reagan

Cigna and Humana waive coronavirus treatment costs | NBC News | 3/30/2020

… FDA-approved medications and vaccines when they become available. They will apply to their privately insured individual and groups plans, Medicare Advantage and Medicaid members. Read the full story. Share this - 5h ago / 1:54 AM … and Infectious Diseases and an advisor to every president since Ronald Reagan, is reaching out to a new audience — the social media generation. After appearing on Instagram with NBA player Steph Curry this week and …

Joe Biden

Coronavirus live updates: Gov. Murphy responds to CDC’s travel advisory | CNBC | 3/29/2020

… FDA-approved medications and vaccines when they become available. They will apply to their privately insured individual and groups plans, Medicare Advantage and Medicaid members. — Bertha Coombs 6:14 pm: President Trump extends national social distancing … the U.S. to vote by mail in the November election, Joe Biden, the front-runner for the Democratic presidential nomination, said. “We may get there. I don’t want to go that far ahead, but that …

Alex Azar

Latest Coronavirus Updates for the Healthcare Community | EHR Intelligence | 3/16/2020

… effectively? 3/12 Despite generally having the same level of disability as Medicare beneficiaries in a traditional fee-for-service model, Medicare Advantage beneficiaries have lower spending and lower cost burden, a recent Better Medicare Alliance … specific test rather than using an unspecified code. 2/11 Secretary Alex Azar pointed to the novel coronavirus outbreak as a reminder that “protecting the health and security of the American people requires constantly investing in …

Larry Levitt

CMS eases more Medicare restrictions to boost coronavirus treatment access | Healthcare Dive | 3/11/2020

… Author share Dive Brief: CMS took further action Tuesday to ease access for people affected by the novel coronavirus. For Medicare Advantage and Part D plans, the agency is requiring them to waive cost-sharing … What about the 61% of workers in self-insured plans? — Larry Levitt (@larry_levitt) March 10, 2020 President Donald Trump and Vice President Mike Pence met payer executives at the White House on Tuesday afternoon …

Robert King

Insurers demand CMS increase MA payments to account for influx of ESRD beneficiaries | FierceHealthcare | 3/10/2020

Insurers demand CMS increase MA payments to account for influx of ESRD beneficiaries by Robert King Mar 9, 2020 4:33pm Major concentration in the dialysis market is one of the key reasons Medicare Advantage plans are worried about an influx of new beneficiaries with late-stage kidney disease. (Getty/Jupiterimages) The insurance industry is worried an expected influx of new Medicare Advantage (MA) beneficiaries with end-stage renal disease (ESRD …

Alex Wong

Read the pitch deck that buzzy startup Devoted Health used to reach a $1.8 billion valuation before it signed up a single customer | Yahoo News | 1/7/2020

… of its senior citizens, and it has big plans in its first five years to do just that. Todd Park Alex Wong/Getty Images The startup, which has been gathering lots of buzz in the … operation Its plan to take on the healthcare giants in Medicare Advantage Why it thinks it can generate better margins than other Medicare Advantage health insurers How the company can eclipse 100,000 members And more …

Bernie Sanders

Medicare For All Could Die In 2020 As Private Insurers Add Seniors | Forbes | 1/1/2020

… candidates pushing single payer versions of “Medicare for All” after they added hundreds of thousands of seniors to their private Medicare Advantage plans this year. New benefits for seniors under Medicare Advantage began Wednesday, the … uproot the private insurance industry. In Iowa, for example, Sen. Bernie Sanders of Vermont continues to push single payer Medicare, but former Vice President Joe Biden has launched ads in recent weeks in touting an …

Bob Sheehy

VC-Funded Payer Bright Health Secures $635M in Series D Round | HealthPayer Intelligence | 12/18/2019

… its workforce. Its expansion will include a larger product, geographic, and consumer footprint. Dig Deeper Oscar Partners with Montefiore for Medicare Advantage Plan “Real transformation will require disruption at every stage of the healthcare system … a better healthcare experience,” said Bright Health chief executive officer Bob Sheehy. “Over the past four years, we have seen exceptional interest in our approach to transforming healthcare, which is reflected in our investors’ continued …

Bruce Japsen

Centene’s Neidorff: WellCare acquisition has cleared final state approvals | FierceHealthcare | 12/6/2019

… the merger goes through, the new company would be the fourth-largest payer in the private Medicare space that includes Medicare Advantage and Part D plans. Overall, there would be 22 million members across all … people enroll, he said. Asked by Forbes senior healthcare contributor Bruce Japsen whether he was concerned about Democratic presidential candidates’ proposals around “Medicare for All” and single-payer systems, Neidorff responded, “We deal with the …

Mike Kelly

ACS acts to address burdensome, inappropriate use of prior authorization | The Bulletin | 12/4/2019

… of stringent prior authorization processes both private insurance companies and the Centers for Medicare & Medicaid Services (CMS) contractors that administer Medicare Advantage health plans have implemented. Participants in a recent American College of Surgeons (ACS … responds with legislation In June, Reps. Suzan DelBene (D-WA); Mike Kelly (R-PA); Roger Marshall, MD (R-KS); and Ami Bera, MD (D-CA), introduced the Improving Seniors’ Timely Access to Care Act, H.R …

Michael Carson

Centene-WellCare Merger Prompts Sale of IL Medicaid and MA Plans | HealthPayer Intelligence | 12/3/2019

… Payers News Centene-WellCare Merger Prompts Sale of IL Medicaid and MA Plans Centene will sell its Illinois Medicaid and Medicare Advantage plans to CVS Health for an undisclosed amount due to Centene-WellCare merger … the CEOs—Tom Croswell, the chief executive of Tufts, and Michael Carson, the chief executive officer at Harvard Pilgrim— explained to the Boston Globe why the merger would be a positive change for the region …

Michael Le

Landmark Health’s In-home Model Extends Life and Reduces Cost | Business & Finance | heraldchronicle.com | Business Wire | 12/3/2019

… model predictions of newer entrants into this field. The results are based on a retrospective cohort study of 36,393 Landmark Medicare Advantage patients who were attributed to Landmark between January 1, 2016 and June 30 … doing work that improves the lives of patients,” states Dr. Michael Le, Landmark’s co-founder and Chief Medical Officer, “we’re doing life-saving work.” Landmark’s research shows that for patients who receive Landmark’s care, mortality …

Kamala Harris

What you need to know about Medicare for All | 12/3/2019

… for All would cover medical bills completely, with no burden on the patient. There would be no Medigap insurance or Medicare Advantage. If Medicare for All sounds a lot like a single-payer health care … most full-throated support for Medicare for All. Four others — Kamala Harris, Cory Booker, Julian Castro and Tulsi Gabbard — endorse variations on Medicare for All that don’t quite as far or get there as quickly …

Michael F. Neidorff

Centene-WellCare Merger Prompts Sale of IL Medicaid and MA Plans | HealthPayer Intelligence | 12/3/2019

… Payers News Centene-WellCare Merger Prompts Sale of IL Medicaid and MA Plans Centene will sell its Illinois Medicaid and Medicare Advantage plans to CVS Health for an undisclosed amount due to Centene-WellCare merger … Health plan is the next step in that process,” explained Michael F. Neidorff, Centene’s chairman, president and chief executive officer. “Our employees in Illinois have done an exceptional job serving our communities in the state …

Elizabeth Warren

What you need to know about Medicare for All | 12/3/2019

POLITICS By VTD Editor Dec 3 2019, 2:20 PM no reader footnotes Sens. Bernie Sanders and Elizabeth Warren at the July 19, 2019, Democratic presidential debate on CNN. Photo by CNN This article by Jon … on the patient. There would be no Medigap insurance or Medicare Advantage. If Medicare for All sounds a lot like a single-payer health care system — where the government foots the bill for people’s health …

Pete Buttigieg

What you need to know about Medicare for All | 12/3/2019

… that he “wrote the damn bill,” and Elizabeth Warren from Massachusetts. Most vocally on the other side are Joe Biden, Pete Buttigieg and Amy Klobuchar. They argue that this single-payer health care program would … on the patient. There would be no Medigap insurance or Medicare Advantage. If Medicare for All sounds a lot like a single-payer health care system — where the government foots the bill for people’s health …

Patty Murray

Congress Should Act Now to Repeal Obamacare Taxes | 12/3/2019

… 2020 alone, the HIT is projected to add an estimated $16 billion to the cost of coverage for families and Medicare Advantage seniors. If lawmakers fail to repeal this harmful tax, the HIT will increase … ban including Chuck Schumer, Michael Bloomberg, Dick Durbin, Rashida Tlaib, Patty Murray, and pretty much everyone in charge of San Francisco. Also of note …

Cory Booker

What you need to know about Medicare for All | 12/3/2019

… for All would cover medical bills completely, with no burden on the patient. There would be no Medigap insurance or Medicare Advantage. If Medicare for All sounds a lot like a single-payer health care … throated support for Medicare for All. Four others — Kamala Harris, Cory Booker, Julian Castro and Tulsi Gabbard — endorse variations on Medicare for All that don’t quite as far or get there as quickly. Harris, for …

Nancy Pelosi

Taxpayer Groups Join Small Business to Call for a Solution to the ‘Insidious’ HIT Tax | 12/3/2019

… return in 2020, the HIT will add approximately $16 billion to the cost of coverage for individuals, small businesses and Medicare Advantage seniors, which amounts to an increase of between $400 to $500 on health … U.S. House freshman class sent a bipartisan letter to Speaker Nancy Pelosi and Minority Leader McCarthy to urge action on H.R. 1398. Kerrigan said that providing certainty and relief from this steep tax, which quickly …

Andrew Parker

MA Insurers Tap Papa Pals to Provide Companionship for Seniors | 12/3/2019

… CVS Health Corp., is partnering with a company called Papa to offer “grandkid-on-demand” services to the health insurer’s Medicare Advantage (MA) members. Robert Mirsky, M.D., chief medical officer for Medicare at Aetna, says … It helps them keep up with social engagement,” Papa CEO Andrew Parker says. Papa Pals are the “eyes and ears” of the payer, he adds. Once a Pal enters the senior’s home, they can communicate …

Rick Scott

Florida health insurance | 12/3/2019

… and enrolls through HealthCare.gov. More than 20 percent of Floridians are enrolled in Medicare . Of those about 42 percent have Medicare Advantage coverage. Florida’s health marketplace Florida is among the states that have done the … not well received by state-level politicians in Florida. Gov. Rick Scott is vocally opposed to the healthcare reform law, and the state rejected federal loans to evaluate a state-run exchange, was the lead …

Drew Altman

What you need to know about Medicare for All | 12/3/2019

… for All predict. Skeptics, such as health finance expert Kenneth Thorpe at Emory University , say dramatic reductions are overly optimistic. Drew Altman, who heads the Kaiser Family Foundation , worries that insulating people from all costs … on the patient. There would be no Medigap insurance or Medicare Advantage. If Medicare for All sounds a lot like a single-payer health care system — where the government foots the bill for people’s health …

Pramila Jayapal

Congress Should Act Now to Repeal Obamacare Taxes | 12/3/2019

… employer-provided healthcare plans. The bill repealing the tax had 367 cosponsors, including members of the far left like Reps. Pramila Jayapal (D-Wash.) and Ro Khanna (D-Calif.) and conservatives like Reps. Mark Meadows … 16 billion to the cost of coverage for families and Medicare Advantage seniors. If lawmakers fail to repeal this harmful tax, the HIT will increase premiums by 2.2 percent per year and by almost $6,000 …