We are delighted to announce that HealthScape Advisors has joined Chartis, one of the nation's leading healthcare advisory firms.  Read the press release.

Executive Briefing | February 8, 2024

Less is the New More with Medicare Advantage Supplemental Benefits in 2024

By , , , ,

Medicare Advantage Organizations (MAOs) face an inherent tension to grow despite financial constraints on margin. This pressure makes it difficult to invest in competitive benefit design elements that are known to drive growth, including supplemental benefits. Significant financial headwinds including…

Read More

Press Release | February 6, 2024

Leading Healthcare Payer Consulting Firm HealthScape Advisors Joins Chartis

By

February 6, 2024 (Chicago, IL) – Chartis, a leading healthcare advisory firm, today announced that it has acquired HealthScape Advisors, a leading healthcare payer consulting firm. Based in Chicago with 160 professionals, HealthScape helps payers across all segments, including commercial,…

Read More

Executive Briefing | January 9, 2024

Four Pressures Shaping Health Plans in 2024

By , , , , , , ,

Health plans are confronting significant pressure to their financial sustainability, including rising costs, new regulations, and increased competition. Rising medical costs remains an ongoing challenge, with medical expenses outpacing projections in 2023 driven by factors such as post-COVID demand, network…

Read More

Executive Brief | November 28, 2023

Contract Year 2025 Policy and Technical Changes to Medicare Advantage

By ,

CMS recently released its proposed rule for Medicare Advantage Organizations (MAOs) and Part D sponsors for contract year 2025. While the proposed rule outlines meaningful policy and technical changes to the Medicare program (e.g., behavioral health, health equity, agent/broker compensation, D-SNP…

Read More

Executive Briefing | November 27, 2023

Medicare Advantage Dental Benefit Compare Tool 2024 Insights

By ,

The Centers for Medicare & Medicaid Services (CMS) recently released data that highlights the benefit designs of 2024 Medicare Advantage (MA) plans, inclusive of each MA product’s dental offering. To help our clients understand the results, HealthScape has quickly ingested…

Read More

Article | October 24, 2023

Provider-Sponsored MA Plans Evolve as 2024 Collabs Take More ‘Thoughtful’ Tack

By

Reprinted with AIS Health permission from the Oct. 19 issue of Radar on Medicare Advantage Leading up to the Oct. 15 start of the Medicare Annual Election Period (AEP), news reports across the U.S. have depicted down-to-the-wire disputes between Medicare…

Read More

Executive Brief | November 2, 2023

2024 Star Rating Analysis: The Story Lies Beyond the Outliers

By , , , ,

Introduction The recent publication of 2024 Medicare Advantage (MA) Star ratings confirmed that the regulatory and operating environment for this program will challenge health plans (especially compared to past years) as the Centers for Medicare and Medicaid Services (CMS) shifts…

Read More

|

Public Health and Healthcare in Post-COVID America: Innovative Solutions for a Healthier, More Prosperous Society

By

In the early 1900s, health epidemics ranging from cholera to typhoid plagued America’s increasingly crowded and polluted cities. Public health services emerged during this time to manage the onslaught of these virulent infections. Early countermeasures focused on “outside sources” of…

Read More

Executive Briefing | July 26, 2023

2024 AEP: The Most Competitive Marketing Season Ever

By , , ,

As Medicare Advantage Organizations (MAOs) get ready for the upcoming Annual Enrollment Period (AEP), they should proactively prepare for one of the most competitive marketing seasons to date. The cumulative impact from changes in payment rates; regulatory pressure on Third…

Read More

Executive Briefing | June 5, 2023

The ACA Market, a Decade In With a Promising Future for the Adaptable Health Plan

By , , ,

Summary At one point, the Affordable Care Act (ACA) market was the “new kid on the block” and every health plan wanted in. Shortly after its debut, plans faced financial and competitive challenges. The uncertainty of this market rapidly became evident…

Read More