Clinical Operations Burnout Is Undermining Patient Enrollment
When coordinators are buried in documentation, scheduling, and data reconciliation, patient engagement is the first thing to go. And when engagement drops, retention drops with it.
Health Insurance Enrollment: Winning OEP With a Tech-Driven Call Center
Adding more agents or buying more leads are just pieces of the puzzle, but they don’t address the multifaceted challenge of open enrollment. Teams must be aligned around meaningful metrics rather than vanity measures like total dials.
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Inside an Automated Healthcare Practice: Redesigning Care Around People, Not Paperwork
By reducing administrative burden and redesigning workflows around human needs, it creates space for what matters most: connection between clinicians and patients.
Report: About Half of MA Beneficiaries Leave Their Plan After 5 Years
After five years of enrolling in a Medicare Advantage plan, 48.3% of non-dually enrolled beneficiaries left their contract and 53.4% of dually enrolled beneficiaries did, a new study found.
Report: MA Enrollment Increases to Half of All Eligible Medicare Beneficiaries
Out of 59.82 million people with Medicare Part A and Part B in January 2023, 30.19 million people were enrolled in Medicare Advantage plans, the Kaiser Family Foundation found in a recent analysis.
Report: Medicare Advantage Enrollment Sees Continued Growth, but at a Slower Rate
Enrollment in Medicare Advantage plans increased by 5.5% this year, or by 1.5 million beneficiaries, according to The Chartis Group. But in 2020, 2021 and 2022, enrollment rose by 1.9 million, 2.2 million and 2.3 million, respectively.
Rate of Beneficiaries Switching From Traditional Medicare to Medicare Advantage Is Growing
This is a reversal from several years ago, when more Medicare Advantage beneficiaries switched to traditional Medicare, a recent report found. Medicare Advantage has grown in popularity over the last several years.
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Top 7 Modern AI-Powered EAP Providers for Global Workforces in 2026
Discover the top AI-powered EAP providers for 2026. Compare platforms like Kyan Health and Spring Health on triage speed, global reach, and clinical quality to transform workforce wellbeing.
18M Are at Risk of Losing Medicaid Coverage at the End of Covid Emergency
Of these 18 million people, 3.8 million people will become completely uninsured, according to the Urban Institute’s report. The estimate is higher than HHS' August prediction of 15 million people losing coverage after the public health emergency.
MA to become predominant form of coverage for Medicare beneficiaries, report finds
Nearly half of Medicare beneficiaries, or 48%, are enrolled in Medicare Advantage plans. This is highly concentrated across UnitedHealthcare and Humana, which account for almost half of all MA enrollees.
How one company is digitizing the Medicare enrollment process
Healthpilot uses an AI-driven platform to help consumers determine what Medicare plan is best for them. On the startup's website, users can input their location, physicians, prescriptions, pharmacies and what benefits they want, and the algorithm will recommend the plan it believes is most cost-effective.
Employees want help with their health benefits, survey finds
Many employed Americans misunderstand their health insurance plans, and 72% want someone to just tell them what the best plan is for their specific needs, the survey found.
The Power Behind Enterprise EHR Software for Large Healthcare Systems
Enterprise EHR boosts scalability, interoperability, and governance for large healthcare systems.
CMS chief at HLTH: We need to stop taking it for granted that people know they are eligible for coverage
There are about 17 million people eligible for coverage through Medicaid or the Affordable Care Act marketplaces, and one of CMS' priorities is to make them aware of their insurance options, Administrator Chiquita Brooks-LaSure said at this year's HLTH conference.
CMS lowers MA premiums amid insurer plans to grow offerings
CMS is lowering the average premium for MA plans to $19 per month in 2022 from about $21 this year. The news comes as several insurers announce new MA plan offerings for 2022, including Humana, which said it will launch 72 plans.
CMS suspends enrollment in UnitedHealthcare, Anthem MA plans
The agency has suspended enrollment in three UnitedHealthcare plans and one Anthem plan for 2022 because the plans did not spend enough of their premium incomes on medical benefits and claims. The payers can contest the suspension, though it is unclear if they plan to.
UnitedHealthcare to expand ACA exchange offerings to 7 new states
UnitedHealthcare is planning to participate in the ACA insurance exchanges in Alabama, Florida, Georgia, Illinois, Louisiana, Michigan and Texas. This will bring its total ACA marketplace footprint to 18 states.
CMS to fund 60 ACA navigator orgs next year
CMS will provide $80 million to 60 organizations that train ACA navigators — who help consumers find coverage on the federally funded marketplaces — in the 2022 plan year, up from 30 organizations that received $10 million this year.