1Top plans based on KFF’s 2023 Update and Key Trends report; analysis of 2023 CMS Medicare Advantage enrollment by firm.†1.3 million people used eHealth to sign up for an insurance plan (including Medicare, Individual and Family, Ancillary, and Small Business plans) based on ...
New Medicare rule streamlines prior authorization in Medicare Advantage plansYoung, Kerry DooleyCardiology News
For decades, access to comprehensive and affordable behavioral health billing has been a challenge for many Medicare beneficiaries. But 2024 dawns with a wave of transformative policies poised to reshape the landscape ofBehavioral Health Coding and Billing, bridging coverage gaps, tackling inadequate reim...
Medicare, Medicaid, Dual-Eligible, SNP, and MLTSS plans 5-Star performance for adherence, based on PDC Fewer admissions and readmissions Lower mortality rates Savings up to $4,000+per member per month +75 NPS for health plan members in 2023 ...
(IRA), which aims to curb drug pricing, will likely benefit many of the newer modalities relative to small-molecule products. The law completely exempts Medicare Part A products, which are administered in hospitals, from all three drug pricing provisions, and thus will likely incentivize ...
Medicare Middlemen Shouldn’t Get in the Way of Personalized Medicine 02.26.2025 Peter Pitts When speaking this past week at the White House, Oracle founder Larry Ellison said that the newly announced ‘Stargate’ – an artificial intelligence infrastructure project – will pave the way to the ...
Go to Medicare See why over 3.3 million people put their trust in our coverage. We have more members than any other health insurer in the state. You'll have access to more than 70,000 providers.² Our Plan Experts are here to help you navigate your coverage. Explore all of Horizon'...
Based on three years (2021-2023) of Medicare Fee for Service data (which does not include Medicare Advantage), each scale below indicates the number of patients treated relative to other doctors who treat the same condition. Note that this provider may treat patients who are not covered by ...
Anything is possible, but here’s what to know if you think you’ll be retiring on Social Security alone. Maryalene LaPonsieMarch 31, 2025 Maximize Your Medicare Advantage Perks You're leaving money on the table if you don’t use all your benefits. ...
Pharmastar’s Medicare Part D rebate processing program involves close collaboration with drug manufacturers, cutting unneeded steps and providing better oversight and a clearer view into rebate claims. Our advanced technology provides plans with more timely rebate payment information and better rebate repo...