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Our Insights

Executive Briefing | March 14, 2023

HealthScape Advisors’ Insights on 2023 AEP Performance

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This brief builds upon last year’s analysis of Medicare’s Annual Enrollment Period (AEP) and highlights results from the most recent enrollment data available1 from the Centers for Medicare and Medicaid Services (CMS) that accounts for 2023 AEP. Where helpful, we’ll compare…

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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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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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Article | January 6, 2022

2022 Outlook: MAOs Face Payment-Related Unknowns, Increased Competition

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Reprinted with AIS Health permission from the January 6, 2022, issue of RADAR on Medicare Advantage For the Medicare Advantage industry, change wasn’t a major outcome of the Biden administration’s first year in office. But for 2022, MA organizations face…

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Article | December 16, 2021

Rewards and Incentives Rule Has Compliance, Stars Implications

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Reprinted with AIS Health permission from the December 16, 2021, issue of RADAR on Medicare Advantage Although it may have gone largely unnoticed by Medicare Advantage plans this year, a clarification regarding rewards and incentives (R&I) programs embedded in an…

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Article | October 21, 2021

Beneath High Ratings, MA-PD Stars Scores Show Shortcomings

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Reprinted with AIS Health permission from Oct. 21, 2021 issue of RADAR on Medicare Advantage. Thanks to numerous flexibilities granted to plan sponsors during the COVID-19 public health emergency, nearly 70% of Medicare Advantage Prescription Drug (MA-PD) plans earned an…

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Article | October 8, 2021

Will New Release of 4+ Star Plans Hasten the Depletion of the Medicare Hospital Insurance Trust Fund? Key Takeaways & Implications for Plans Coming Out of Recently Published 2022 Star Ratings

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Star Year 2022 Ratings have officially posted, allowing Medicare Advantage beneficiaries to compare plan options based on quality. This year, more beneficiaries will select from above-average plans, with 68% of MA-PDs (322 contracts) earning 4 stars or higher for Star…

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