What you need to know, when you need to know it.
Humana creates Telehealth system for Medicare Advantage beneficiaries
told ya….
Why are Medicare Advantage Organizations moving more slowly than expected to integrate new benefits into their plans?
Because they want to figure out which ones will make them money,
This is a surprise to exactly no one who engages with this content.
but that’s only half the story.
They’re also figuring out how they can best push the costs onto their providers.
Again, no surprise to long time readers here.
If you’re a provider, don’t get too excited about these “social determinants of health.”
You’re the one who’s going to pay for them.
insightful analysis here.
United Healthcare expanding in California
This is a big, big deal.
In the past three years, California had been written off as a “mature” market for Medicare Advantage plans.
If United is making a move, they obviously believe that there is some cost-effective fruit to harvest. Others will follow.
The projection of 40% of Medicare beneficiaries being enrolled in Medicare Advantage nationwide by 2023 is clearly far too low.
It truly is becoming the only real game in town.
Learn. Prepare. Win.
Using Medicare Advantage data to estimate disease incidence
Given the massive amount of coding fraud, relying on Medicare Advantage data sets for clinical research seems to be an enormous risk.
Tomism
Overwork is a tactic of distraction. Any care system which relies on overwork is masking its true goals.