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

Article | July 3, 2024

CMS Sets New Standards for SSBCI and Supplemental Benefits Across Medicare Advantage Plans

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The Centers for Medicare & Medicaid Services (CMS) recently released a final rule with changes to the Medicare Advantage (MA) and prescription drug program (MA-PD) for Contract Year 2025 (CY2025). CMS’ stated goal for the final rule is to strengthen…

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Executive Briefing | January 9, 2024

Four Pressures Shaping Health Plans in 2024

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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…

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Executive Briefing | November 27, 2023

Medicare Advantage Dental Benefit Compare Tool 2024 Insights

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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…

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Article | October 24, 2023

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

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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…

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Article | May 18, 2023

Leading Market Trends and Challenges from the MLTSS Leadership Summit

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Leading Market Trends and Challenges from the MLTSS Leadership Summit Managed Long-Term Support Services (MLTSS) continues to be spotlighted in discussions of complex care management, whole person care models, health disparities, and the direct care workforce shortage. Managed Care Organizations…

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Executive Briefing | April 27, 2023

Increasing Specialty Care Emphasis in Value-Based Care Strategies to Improve Future Outlooks for Health Plans

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Market strategies to drive transformation of healthcare delivery and payment towards value are at a cross-roads. In response, health plan VBC strategy success will depend on their ability to develop and deploy specialty VBC models. Industry advancements in value-based care…

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Executive Briefing | February 2, 2023

Health Plan Outlook for 2023: Market Trends Become Mainstream

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In the past few years, the COVID-19 pandemic has dominated our attention, disrupting traditional healthcare delivery and access. During this time, member access to care was largely focused on adapting and responding to the pandemic. Now that the industry has largely reached stabilization…

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Executive Briefing | December 8, 2022

Medicare Advantage Dental Benefit Compare Tool 2023 Insights

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The Centers for Medicare and Medicaid Services (CMS) recently released data that highlights the benefit designs of 2023 Medicare Advantage (MA) plans, inclusive of each MA product’s dental offering. To help our clients understand the results, HealthScape Advisors has quickly ingested the…

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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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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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