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Article | August 2022

ACO REACH Model Program Updates – ‘Do Nothing’ is Not a Strategy

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The Centers for Medicare and Medicaid Services (CMS) Innovation Center recently introduced the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model as a redesign of the Global Professional Direct Contracting Model (GPDC). The move represents the…

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Article | April 26, 2022

HealthScape Advisors’ Preliminary Insights on 2022 AEP – March Update

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In late February 2022, HealthScape published an initial review of Annual Enrollment Period (AEP) results, noting material changes to Medicare Advantage (MA) membership from December 2021 to January 2022 (when AEP enrollments went into effect) across nearly 300 carriers, including…

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Article | March 7, 2022

ACO REACH Model: Implications for Providers and Plans

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The Centers for Medicare and Medicaid Services (CMS) Innovation Center recently provided long- awaited clarification on the status of the Direct Contracting program. CMS has formally canceled the Geographic Direct Contracting Model (Geo) and is phasing out the Global and…

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Executive Briefing | February 22, 2022

HealthScape Advisors’ Preliminary Insights on 2022 AEP

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This brief details HealthScape Advisors’ first look at Medicare Advantage (MA) 2022 Annual Enrollment Period (AEP) results. As additional enrollment data becomes available from the Centers for Medicare and Medicaid Services (CMS), we will update this brief with any significant…

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Executive Briefing | January 13, 2022

Health Plan Success Drivers in 2022 (A Renewed Focus on Performance and Execution)

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Every January, we provide our perspective on areas of increasing importance and value for health plans for the upcoming year. Our prospective view of 2021 focused on the need for health plans to strike a balance between innovation and investment…

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Executive Briefing | November 30, 2021

Data to the People, by the People, for the People

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Health plans are undergoing a transformation as they evolve their capabilities and business models to not only use data in new and innovative ways, but also cope with the increasing volume, variety and velocity of data. Given the impact COVID-19…

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Executive Briefing | January 26, 2021

2021 Health Plan Priorities: Pressing Past the Pandemic

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2020 has redefined healthcare in a way no one could have predicted. The US healthcare system finds itself looking at an uncertain future in which healthcare, namely COVID-19, has manifested itself in nearly every aspect of life. The impact of…

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Article | December 15, 2020

Geographic Direct Contracting: Background & Strategic Opportunity

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On December 3, 2020, the Centers for Medicare and Medicaid Services (CMS) Innovation Center released details on the much-anticipated Geographic Direct Contracting Model, or “Geo.” Geo is a new payment and care delivery model designed to assess whether Direct Contracting…

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Executive Briefing | January 21, 2020

2020 Healthcare Trends: The Year of Integration

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It’s that time of year again. At the start of every year, and particularly at the dawn of a new decade, the buzzing speculation of what is to come in the new year intensifies. In this Executive Brief, HealthScape has…

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Executive Briefing | August 22, 2019

Is Defined Contribution Coming to Healthcare?

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Will new trends drive defined contribution and a new consumer choice model? Just as the employer retirement market shifted from defined benefit to defined contribution (such as a 401k or 403b) nearly 25-years ago,  the employer group health insurance market…

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