Insights

November 26, 2019   Under recent CMS guideline changes, Medicare Advantage plans have an unprecedented ability to offer supplemental benefits that are not primarily health...

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...

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

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...

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...

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...

March 6, 2019   Many payers are behind the curve on management of appeals and grievances, struggling with outdated technology and procedures.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

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

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...