Health systems have been increasingly dropping MA contracts, saying that they cause their organizations to lose too much money and result in dangerous patient care delays. To mitigate this issue, experts think large MA plans need to delegate more utilization management duties to health systems rather than handling it themselves.
In this episode, we discuss SCAN Health Plan's recent launch of SCAN Inspired, a Medicare Advantage plan designed for women.
Munck Wilson Mandala Partner Greg Howison shared his perspective on some of the legal ramifications around AI, IP, connected devices and the data they generate, in response to emailed questions.
Enrollment in Medicare Advantage is increasing, but the program has been drawing scrutiny from the government. Can the program be saved? One expert believes Medicare Advantage is a failed experiment. Another thinks that while the program has its flaws, it shows tremendous potential.
In a value-based partnership with ApolloMed, SCAN is launching a Provider Specific Plan called Compass. It is also announcing a Medicare Advantage plan designed for women called SCAN Inspired.
Some of the highest-ranked Medicare Advantage plans are SCAN Health Plan, Humana, Excellus BlueCross BlueShield, UPMC for Life and Blue Cross Blue Shield of Texas, according to a new J.D. Power report.
Over the next 18 to 24 months, Humana will exit the Employer Group Commercial Medical Products business, which includes fully insured plans, self-funded plans and Federal Employee Health Benefit plans. The decision represents Humana's move to double-down on its Medicare Advantage business, one expert said.
At the Abarca Forward conference earlier this year, George Van Antwerp, managing director at Deloitte, discussed how social determinants of health and a personalized member experience can improve medication adherence and health outcomes.
Healthcare organizations need to have clear and specific goals in order to make real change in reducing health disparities, executives from SCAN Health Plan and CVS Health said. The insurer is tackling medication adherence in Hispanic members and flu vaccination rates in Black members, while the retailer is taking on women's health, heart health and mental health.
MedCity News interviewed CEOs of public companies, entrepreneurs, VCs and payers at the HLTH conference that concluded last week. They had a range of answers to the question. But one common theme emerged: Currently, everyone has a vise-like grip on expenditure.
The health plan offered through SCAN includes care navigation services from Included Health, in which members can receive assistance in finding peer groups, support groups and community resources. Members can also receive virtual behavioral healthcare through Included Health.
Middle-income seniors are those who are unlikely to qualify for Medicaid but do not have adequate resources to pay for the housing and care options they need. The lead author called for efforts to be taken to improve the affordability of long-term care for seniors, particularly for those of lower income.
We will highlight Build My Health's revenue practice management tools, which could help physician practices add up to $250,000 to their practices.
With the expansion, pending CMS approval, Long Beach, California-based SCAN will reach nearly 7 million potential customers across four states, including California and Arizona.
The CEO of SCAN Health Plan has a message for others trying to battle health inequity: get out of the planning phase and learn by doing.
Who made the finals for this INVEST Digital Health Pitch Perfect track? Read about these digital health companies and check out the virtual event from September 20-23. Register today!
To tackle loneliness among seniors — which can have serious repercussions on health — Medicare Advantage plan provider SCAN Health has launched a togetherness program. The program is founded on senior-to-senior interactions, both virtual and, eventually, in-person.