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The Opportunity for MA Plans to Modernize

June 28, 2019 Medicare Advantage (MA) plans are facing both major opportunities, and significant hurdles. On one side, they are seeing continued growth in Medicare...

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2019 Over-The-Counter Statistics

June 1, 2019 Why should you consider an over-the-counter supplemental benefit for your Medicare Advantage members? The numbers don't lie.

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Strengthen Your Culture & Develop Your Competitive Advantage by Investing in Compliance

May 13, 2019 Neglecting the importance of compliance is not sustainable on the part of a health plan or a solution provider. With both public and financial...

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The Rise of Over-the-Counter (OTC) Programs in Medicare Advantage Plans

May 2, 2019 A 2018 CMS final rule added flexibility to Medicare Advantage (MA) plans in determining supplemental medical and non-medical benefits available to...

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Why Big Data can be a Game-Changer for Medicare Advantage Plans

March 19, 2019 Big data analytics is a high priority for most payers, but a recent survey found many don’t feel ready to succeed with such initiatives in the current...

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How MA Plans Can Get Ahead of the Curve on Appeals and Grievances

March 6, 2019   Many payers are behind the curve on management of appeals and grievances, struggling with outdated technology and procedures. Some are still handling...

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Supercharge Your Automation to Better Address MA Member Needs

February 25, 2019 Medicare Advantage plans recognize that the primary touchpoints with customers are through enrollment and billing. Often treated as discrete operations,...

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Set Your Plan Apart With an OTC Benefit

January 21, 2019   Two of the buzz phrases most frequently heard in the health care community now are “value-based care” and “social determinants of health” (SDOH). Health...

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Better Billing, Better Consumer Experience

January 18, 2019   The Medicare Advantage market is heating up – a trend that’s expected to continue, according to a new Kaiser Family Foundation   report. In 2019, there...

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