Sunday Links

The Source of Your Power   Lyft Expands Rideshare Partnerships with MA Plans This is a key, key tactic to improve compliance and prevent no-shows—especially for yearly visits.   I’ve been advocating this with my clients for more than three years now, and it’s the best performing intervention I’ve ever recommended.   Medicare transport has long been a benefit under MA. It’s also long been poorly delivered by third-party vendors—they’re late (when they show up...

Read More

Sunday Links

All the news that fit to link   Private Medicare enrollment soars even as talk of Medicare For All increases From Forbes Every Medicare For All proposal consists of healthcare funded and executed by the government only. No private insurance of any kind. There are pros and cons, but Medicare Advantage is not part of any plan. Not one.     Medicare Advantage growth exploding not slowing Renown Healthcare Anthem Even Google   The narrative...

Read More

Sunday Links

Your Watercooler of Wisdom—for Medicare Advantage!         Industry group America’s Health Insurance Plans (AHIP) details its concerns with recent Medicare Advantage changes. AHIP is an advocacy group for insurers plain and simple. When you want to know what the industry’s take is on a Medicare Advantage issue that’s who you ask.         Written communications to Medicare Advantage recipients from their insurers found to be astonishingly hard to understand. This reflects...

Read More

Sunday Links

So that’s her secret!     Apple Watch as a Medicare Advantage benefit? It’s not the government’s money anymore, it’s the insurers. There is absolutely no data to support Apple Watches as cost-effective interventions. From a business standpoint, they’re sexy and market well—from saving money on care costs?  Who knows. Look for a lot more of this—until competitive bidding shaves everyone’s margins.         HIT tax moratorium prevented a 55% increase in Medicare...

Read More

Sunday Links

Your Secret Weapon     Insurers boast about Medicare Advantage growth in JP Morgan conference. It’s pretty much the only service line they have left—as far as accelerated revenue growth is concerned. When competitive bidding for Medicare Advantage comes along and limits the potential for these products, watch out. The industry fallout will be something to see.       CMS proposes to contract with URAC for six more years of “deeming authority.” When you...

Read More

Sunday Links

Stay ahead of the curve   Eight things your Medicare Advantage patients don’t know about their plans or their providers that may surprise you From a survey of 781 members though Helathmine. CMS insiders tell me that they take independent surveys like this very seriously.         AMGA backs Telehealth expansion. When the industry group which has captured the regulators is publicly on-board, it’s full steam ahead. Pushback like this will merely be...

Read More

Sunday Links

You are so ahead of the curve!!!     Industry group behind pushing Medicare Advantage Is this really a surprise?         Does Medicare Advantage help control opioid use? A supermajority of opioid prescriptions are written by a small number of clinicians—and those clinicians are much less likely to practice within a Medicare Advantage plan. it’s that simple. Correlation is not the same as causation.       Senior housing increasingly collaborating with...

Read More

Sunday Links

Such penetrating insight! How do you do it?   How telehealth will drive value in Medicare Advantage Basically a press release by the telemedicine industry, but still of interest.     Another whistleblower case regarding over-coding of Medicare Advantage patients Lessons learned from this case:   If you’re caught intentionally over-coding, fix the system and don’t do it again. If you’re not among the largest Medicare Advantage providers, don’t cheat. Treat your coding staff with...

Read More

Sunday Links

Darn it, where does she get all her information?     This article in the Washington Post takes a political angle on Medicare Advantage. What’s interesting is the government touting a six percent YOY decrease in Medicare Advantage premia vs. only a 3.6 percent drop in traditional Medicare—not costs, just premia. Of course, Medicare Advantage premia are dropping because the one thing insurers need to gain access to the revenue stream associated with a patient’s...

Read More

Sunday Links

“Gosh, you sure do know a lot!”     Well, I knew the powers-that-be were fully in the tank for Medicare Advantage—here’s more evidence with public relation releases masquerading as “articles” here, and here. But this article surprised even me: Federal government marketing Medicare Advantage products The problem is, of course, how much more expensive Medicare Advantage is than traditional Medicare, as well as the ease of fraud—Medicare Advantage being a “data-based” payment system. Insurers and...

Read More