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 | 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 | 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 | June 8, 2021

Considerations for Your Medicare Advantage Medical-Surgical Vision Solution

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HealthScape Advisors is pleased to introduce this Executive Briefing focused on the importance of actively managing spend for intravitreal injections that treat serious eye conditions prevalent within Medicare Advantage (MA) plans’ membership populations. In this briefing, we will cover the…

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Executive Briefing | February 9, 2021

Racial Disparities in Healthcare: A Call to Action

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Reflecting on the significant events of 2020, most notably, heightened racial unrest and the unequal impact of COVID-19, we have a unique and time-sensitive opportunity to address the reality that racial disparities exist in our country. Racial disparities permeate across…

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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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Executive Briefing | December 16, 2020

Provider Data Management: A Longstanding Problem – Amplified in 2020 and Beyond

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YOUR PROVIDER DATA QUALITY PROBLEM MAY BE BIGGER THAN YOU THINK… AND IT COULD BE GETTING WORSE Under normal circumstances, inaccurate provider data presents significant operational and financial challenges for health plans. In 2020, these problems have been exacerbated across…

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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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Article | November 11, 2020

Healthcare Cost Transparency: The Guessing Game is Over

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In June 2019, the Trump administration issued an Executive Order (EO) that directed the U.S. Department of Health and Human Services (HHS) to propose regulations that enhance the ability for patients to shop for healthcare services. As directed by the…

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