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List Scoring Examples for Medicare and Individual/Family Plans

List Scoring uses propensity scores enabling health plans to prioritize prospects, leads, and existing members based on the likelihood of their behaviors...
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Understanding Rapid Disenrollment

Medicare Advantage plans (MAPDs) spend a lot of money acquiring new members, so it is particularly harmful to their financial performance when new enrollees leave the plan within the first few months after their membership starts (a phenomenon known as rapid disenrollment)...
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Marketing and Ad Testing — the Time is Right

When health plans need to grow, every bit of market share has to be fought for, marketers are called to meet the challenge of attracting membership. To accomplish this, the look and messaging of promotions have become objects of closer scrutiny...
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Flexibility is Key to High Value Medicare Advantage Benefit Design

In recent years, CMS has made dramatic changes to the regulation of Medicare health benefits.  In this blog we discuss the emphasis the agency has placed on flexibility.  Two January reports from Deft Research illuminate the value of flexibility in Medicare benefit design...
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Social Determinants of Health and Convenience ER Use

In this article, we focus on the use of the emergency room by some patients for non-emergency and routine medical care. We develop the term “Convenience ER Use” to refer to this...
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Dimensions of Social Determinants of Health

The health system, including insurers, care systems, and allied organizations wants to develop and improve population health management. Toward that end social data referred to as Social Determinants of Health (SDoH) have been identified as a source of information that helps system managers understand “the non-medical obstacles that prevent people from being as healthy as they can be.”  This is a good working definition of SDoH...
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