Medicare Advantage

Medicare Supplemental Coverage Tied to Fewer Cost-Related Hurdles

by Victoria Bailey

Medicare Advantage beneficiaries experience higher rates of problems related to healthcare spending compared to traditional Medicare beneficiaries who have Medicare supplemental coverage, according to...

Payer Gives Community-Based Social Determinants of Health Support

by Victoria Bailey

Updated 6/30/21: Humana's Bold Goal strategy led to a 6.8 percent decrease in the number of unhealthy days for San Antonio members. A previous version listed 8.6 percent as the...

Humana Increases Access to NC Medicare Advantage Mental Healthcare Resources

by Victoria Bailey

Humana has announced plans to open additional Humana Neighborhood Centers across North Carolina to improve the physical and mental health of its Medicare Advantage members. Humana Neighborhood Centers...

Alignment Expands Medicare Advantage for Seniors in 3 States

by Victoria Bailey

Alignment Healthcare (Alignment) is extending its Medicare Advantage (MA) footprint in Arizona, North Carolina, and Nevada to provide coverage for more senior beneficiaries. Starting in 2022,...

How Medicare Advantage Member Engagement Influences Satisfaction

by Kelsey Waddill

Medicare Advantage member satisfaction levels have increased in 2021, but member engagement has remained low, according to the JD Power 2021 US Medicare Advantage study. “Medicare Advantage...

Racial Care Disparities May Be Lower in Medicare Advantage Plans

by Kelsey Waddill

Medicare Advantage plans may better address racial care disparities than fee-for-service Medicare, according to the second in a series of reports that ATI Advisory has prepared for Better Medicare...

Pros, Cons of Non-Emergency Medical Transportation Benefits

by Kelsey Waddill

A small fraction of the Medicaid population utilizes non-emergency medical transportation (NEMT) benefits, but for that community of beneficiaries NEMT programs can be indispensable, a MACPAC...

Humana Expands Value-Based Care Model to Cover More Seniors

by Victoria Bailey

Humana’s CenterWell Senior Primary Care (CenterWell) is expanding its value-based care model to Original Medicare members to improve care quality and health outcomes, as well as lower the cost of...

How MA Plans Can Build on COVID-19 Home Healthcare Strategies

by Kelsey Waddill

After a year of accelerating home healthcare services, payers can build on their coronavirus home healthcare strategies to bolster their home healthcare programs more permanently. Hospital...

How to Assess the Future of Emergency, COVID-19 Medicare Policies

by Kelsey Waddill

Congress and the Biden administration will have to determine which emergency, COVID-19 Medicare policies should be made permanent or be extended, according to a recent Commonwealth Fund study, and...

Medicare Advantage Dual Eligibles Have Better Access to Care

by Kelsey Waddill

Medicare Advantage dual eligibles reported better access to care and access to telehealth during the coronavirus pandemic than traditional Medicare beneficiaries did, a report from NORC at the...

MA Plan Announces Program to Improve Senior Mental Healthcare

by Victoria Bailey

SCAN Health Plan has developed a program to help combat loneliness stemming from social isolation and to improve senior mental healthcare. The coronavirus pandemic and the requisite isolation due to...

Expanding Medicare Could Increase Coverage but Raise Premiums

by Victoria Bailey

Expanding access to Medicare could help provide coverage for millions of Americans, but the premiums could increase compared to some individuals’ current subsidized exchange plans, according to...

Medicare Advantage Plans Draw More Members with Chronic Diseases

by Kelsey Waddill

In 2020, Medicare Advantage plans attracted members with chronic diseases but still maintained lower out-of-pocket healthcare spending for members than fee-for-service Medicare coverage did, a Better...

UHG Reviews Senior Social Determinants of Health Pre-Pandemic

by Kelsey Waddill

While some social determinants of health factors such as food security and high-speed internet access have improved in recent years, seniors experienced an increase in factors such as poverty and...

Bold Goal Saw Better Medicare Advantage Health Outcomes in 2020

by Kelsey Waddill

In 2020, Humana’s Bold Goal program saw better Medicare Advantage health outcomes in physical and mental healthcare than the payer's Medicare Advantage community overall, Humana’s most...

FFS Medicare May Boast Lower Cost Barriers than Private Medicare

by Kelsey Waddill

Adults ages 65 and older with traditional Medicare boasted similar access to care and a lower rate of cost barriers to care when compared with privately-insured seniors between the ages of 50 and 64, a...

Payer Launches Discharge Program To Lower MA Hospital Readmissions

by Hannah Nelson

UnitedHealthcare has announced the launch of a new program that aims to lower hospital readmissions by helping Group Retiree Medicare Advantage beneficiaries safely transition back home after discharge...

Gross Margins, MLRs May Confirm Payer Profitability in 2020

by Kelsey Waddill

Gross margins and medical loss ratios from 2020 may confirm that payer profitability increased during the coronavirus pandemic, according to a brief from Kaiser Family Foundation. The researchers...

Humana Continues Home Healthcare Expansion in $8.1B Acquisition

by Kelsey Waddill

Humana announced that it has signed an agreement to acquire the rest of the Kindred at Home program as part of its home healthcare expansion. “We continue to invest in assets that allow...