Medicare Advantage
Expert articles and analysis related to medicare advantage.
AI Summary — Last 7 Days
In the past week, significant movements within Medicare Advantage (MA) are reshaping the landscape for value-based care (VBC) stakeholders. Enrollment in Special Needs Plans (SNPs) surged by 23% over two years, marking a pivotal cue for providers engaged in MA risk arrangements to reassess their strategies, as highlighted by Wakely's analysis on this trend here. Additionally, Aetna's $117.7 million settlement over allegations of upcoding practices underscores ongoing scrutiny over compliance within MA frameworks, reinforcing the need for stringent adherence to policy among payers and providers alike here. As CMS ventures into new care
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For more than two decades, I have worked in health insurance, first at insurers and more recently as a consultant on Medicare policy. I have led large Medicare Advantage analytics and actuarial organi...
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