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Telemedicine, Medicare Advantage and star ratings: What you need to know

Healthcare IT News - Telehealth

Over the last few years, Medicare Advantage plans have dramatically increased their deployment of telehealth systems for seniors. While some in the healthcare industry may be skeptical of telehealth’s utilization, particularly within the Medicare population, these plans continue to move full steam ahead.

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Medicare Advantage, RPM & Star Ratings: Elevate Plan Performance by Impacting SDoH

Clear Arch Health

Providing value-based, member-centric care t o address Social Determinants of Health (SDoH) - via remote health monitoring services - can mitigate adverse impact to patients, and may help to ensure Medicare Advantage plan success. Ready to take your Medicare Advantage plan to the next level?

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CMS Announces Rural Health Strategy

Clocktree

The Centers for Medicare & Medicaid Services (CMS) launched the agency’s first Rural Health Strategy this week, to help improve access to high quality, affordable healthcare in underserved rural communities. One of the key components of the strategy is to advance telehealth and telemedicine.

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Medicare Advantage Plans Using AI to Deny Care

Digital Health Wire

It’s a tough week to be working PR at Medicare Advantage plans after STAT put out an in-depth investigation revealing that payors are using “unregulated predictive algorithms under the guise of scientific rigor” to cut off care for seniors. The post Medicare Advantage Plans Using AI to Deny Care appeared first on Digital Health Wire.

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Medicare Advantage’s Favorable Selection Problem

Digital Health Wire

Medicare Advantage plans could be on track to reach over $75B in overpayments this year – nearly 3x prior estimates – causing researchers at the USC Schaeffer Center for Health Policy and Economics to issue a pressing call for policy reform. Favorable selection at its finest. As a result, risk-adjusted expenditures for the 16.9M

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Alignment Health CEO offers look at its medical benefits ratio strategy

FierceHealthIT

Medicare Advantage plan Alignment Healthcare is targeting significant improvements to its medical benefits ratio heading into 2024, and the company's top brass offered investors a look at its strat | Medicare Advantage plan Alignment Healthcare is targeting significant improvements to its medical benefits ratio heading into 2024.

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Wyden seeks details from brokers in probe of MA marketing tactics

FierceHealthIT

The Senate Finance Committee sent letters to multiple insurance marketplaces, seeking additional details on the marketing strategies they use to reach potential Medicare Advantage enrollees. |

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