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Medicare Part C and Part D Health Equity Index and Star Ratings

By Petra Brock The Health Equity Index (HEI) is a score created by the Centers for Medicare & Medicaid Services (CMS) to encourage Part C and Part D health plans to improve care for vulnerable and underserved populations. It is used to address the first priority (which aims to “expand...

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The Decline of PPO in Medicare Advantage

By Arielle Elliott For many seniors, Medicare Advantage PPOs provided a middle ground between the higher costs of MedSupp and the network limitations of HMOs. By the start of last year’s AEP, 40% of MA members (non-SNP, non-EGWP) were in PPO plans. That number had been steadily rising over the...

Adverse Selection No More? Healthy Seniors in MA and MedSupp

Brandon Dunk and Nafisa Ali MedSupp coverage is as comprehensive as you can get—for the not-so-low cost of a monthly premium, qualifying seniors can see any doctor they want as often as they need, no questions asked. That’s a great value proposition for all seniors—but especially high utilizers with preexisting...

Navigating Digital Tools and Healthcare

By Andrew Anthony Digital technology touches nearly every aspect of our lives—from entertainment and the workplace to healthcare and health insurance and beyond. Even within each of these categories there are nearly innumerable forms of digital technology, ranging from more established technologies such as broadcast television or your insurer’s phone...

Seniors, SNPs, and CMS. A Primer on SNPs and the Upcoming 2025PY CMS Final Rule.

By Emily Dykstra Often seniors find the Medicare landscape difficult to navigate. Considering all the differences in plan availability by region and carrier, different programs and costs, some seniors, especially those with limited financial resources, can easily choose coverage that does not best suit their needs. This is especially salient...