Insurance & Payers
Expert articles and analysis related to insurance & payers.
AI Summary — Last 24 Hours
In the wake of ongoing open enrollment for Medicare, stakeholders are confronted with potential challenges as many Medicare Advantage enrollees consider switching to Original Medicare, facing hurdles related to Medigap plan refusals, as noted by KFF Health News. Concurrently, the push for real-time data utilization in pharmacy benefit management (PBM) is gaining momentum, underscoring a critical need for transparency and retention in client relationships, which are essential for enhancing value-based care strategies among payers and providers alike. These developments reveal important tensions in navigating Medicare options and emphasize the importance of data-driven decision-making to improve care delivery.
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