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Article | September 2022

The Shelf is Getting Crowded: How Health Plans Should Navigate MA Supplemental Benefits

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Key Highlights of This Brief: Recent regulatory flexibilities applied to supplemental benefits have significantly expanded the breadth of offerings health plans can explore. Experimentation with initial non-Medicare covered benefits (e.g., dental, vision, hearing) has quickly escalated to “table stakes” offerings…

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Webinar | August 24, 2022

Primary Care vs. Chronic Care: What’s the Difference? Can They Co-exist?

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The primary care physician has long been the cornerstone of the American medical system. PCPs have done yeoman’s work to keep hundreds of millions of Americans healthy, but after two centuries, that model is showing age and maybe it’s time…

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Article | August 2022

Forging Renewed Value through Integrated Community-Based Provider Partnerships

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In this Executive Brief, HealthScape will discuss how health plans can use their relationships with local health systems to create new integrated provider partnerships that go beyond current value-based relationships and bring forward the value in vertically integrated partnerships. Introduction…

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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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Press Release | May 20, 2022

HealthScape Advisors Named Chicago’s Best and Brightest Companies to Work For Seventh Year in a Row

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Chicago, May, 2022 / PR Newswire / — HealthScape Advisors, a Convey Health Solutions company advising clients in the healthcare industry, has been named a Chicago’s Best and Brightest Companies to Work For® for the seventh year in a row.…

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Executive Briefing | May 6, 2022

2022 Medicare Advantage Dental Benefits in Review

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Medicare Advantage (MA)—the alternative to traditional Medicare which allows seniors to receive Part A and B benefits through private insurance—continues to rise in popularity. As of April 2022, almost half (46%)¹ of all Medicare beneficiaries are enrolled in an MA plan.…

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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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Article | January 6, 2022

2022 Outlook: Plethora of ‘Granular’ Changes Will Drive MAOs’ Stars Strategy

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Reprinted with AIS Health permission from the January 6, 2022, issue of RADAR on Medicare Advantage With continued emphasis on member experience, several new Part C measures and a directional shift to closing health care inequities, 2022 stands to be…

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