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Article | August 24, 2020

E-Brokers Are Poised for Success in Digital Medicare AEP

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Reprinted with AIS Health permission from the August 20, 2020, issue of RADAR on Medicare Advantage As Medicare Advantage organizations prepare to promote their 2021 offerings this fall with no new guidance from CMS on marketing during a pandemic, plans…

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Article | June 22, 2020

MA Plans Test Digital Comms Tactics for Tech-Heavy AEP

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Reprinted with AIS Health permission from the May 21, 2020, issue of RADAR on Medicare Advantage. Despite the acceleration of U.S. COVID-19 cases in March — the third and final month of the Medicare Open Enrollment Period — switching rates among…

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Executive Briefing | June 5, 2020

Social Determinants of Health: Driving Sustainable Healthcare Value as a Convener

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DEFINING CONVENER Health starts in our homes, continues in our communities, and is largely impacted by our day-to-day choices and interactions. The interconnectedness of life demonstrates why providing holistic healthcare that delivers long term results is hindered by a primarily…

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Executive Briefing | January 21, 2020

2020 Healthcare Trends: The Year of Integration

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It’s that time of year again. At the start of every year, and particularly at the dawn of a new decade, the buzzing speculation of what is to come in the new year intensifies. In this Executive Brief, HealthScape has…

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hfm Magazine | September 6, 2018

Integrated Revenue Cycle: Coordination Between Insurers and Providers to Ensure Revenue Accuracy

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Traditional revenue cycle management arrangements that focus solely on billing and collections are no longer reliable in the world of delegated risk models, especially for Medicare Advantage (MA) populations. That’s why Pareto recommends an innovative approach to managing value-based payments,…

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Executive Briefing | May 31, 2018

Is Change Good for the Medicare Advantage Market?

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With Medicare Advantage (MA) and Part D plans entering the final stretch for 2019 bid submission, each has undoubtedly spent a significant amount of time thinking about change. In April, CMS released the final policy and payment updates for these…

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Executive Briefing | February 15, 2018

What Does EGWP Stand For? Untapped Potential!

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Employer Group Waiver Plans (EGWP) are often an untapped market within a comprehensive Medicare Advantage (MA) and Senior Market strategy for many regional health plans. Group retiree markets are changing due to pressure on retiree benefits. Refreshing your group retiree…

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Executive Briefing | September 19, 2017

What is Your Medicare Advantage Chronic Care Strategy?

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Nearly 150 million adults are living with at least one chronic condition in the United States. According to a recent RAND study, this chronically ill population accounts for hundreds of billions of dollars in healthcare spending annually and represents approximately…

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hfm Magazine | August 1, 2017

Medicare Advantage 2.0: Next Generation Growth Strategies

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Health systems generally recognize Medicare Advantage (MA) as being an important market segment, but many lack effective growth strategies and tactics for engaging and retaining consumers in this dynamic growth market. Successful strategies are predicated on the use of data-driven,…

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Executive Briefing | July 20, 2017

You Can’t Spell MACRA Without MA

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Is your organization MACRA ready? If so, you have probably invested significantly in infrastructure, innovative policies and procedures focused on care management, and consumer engagement strategies. MACRA is here to stay, but have you considered the broader Senior Market opportunity?…

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