Gold Carding Programs Are Meant to Improve Prior Authorization. Are They Working?
Several states and insurers have gold carding programs to streamline prior authorization. However, some say they're falling short.
SCAN, Astrana Launch MA Plan Tailored to Asian Older Adults
SCAN Health Plan and Astrana Health recently launched SCAN Allied, a Medicare Advantage plan designed for the Asian older adult population. It includes access to a network of culturally competent providers, specialists and pharmacies from Astrana Health.
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The Definitive Guide to Medical Billing Outsourcing: 5 Top Companies
In today’s healthcare landscape, your choice of medical billing partner directly impacts your bottom line. What are the best medical billing outsourcing companies, and which one is right for you?
Why Insurers Beat CMS In the MA Star Ratings Battle
CMS recently announced that it is recalculating Medicare Advantage Star Ratings. It comes after two lawsuits on the issue.
Healthcare Execs’ Urgent Calls To Action
During a panel discussion at AHIP 2024, several executives shared their healthcare calls to action, including leveraging AI and rebuilding trust.
Who Really Benefits From Medicare Advantage Plans?
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.
MedCity FemFwd Podcast: SCAN Inspired With Nancy Monk, Chief Operations Officer of SCAN Health Plan
In this episode, we discuss SCAN Health Plan's recent launch of SCAN Inspired, a Medicare Advantage plan designed for women.
The Human Algorithm: What AI Can’t Replace in Pharma Engagement
At a time when AI is reshaping pharma, Reverba Global CEO Cheryl Lubbert explained in an interview why empathy, context, and ethics still require a human touch.
Is Medicare Advantage a Failed Experiment? Experts Debate
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.
SCAN Announces 10-Year Partnership With ApolloMed, Launches Female-Focused MA Plan
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.
What Are the Highest-rated MA Plans Based on Customer Satisfaction?
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.
Is Exiting the Employer Insurance Market a Smart Move for Humana?
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.
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6 Aesthetic Certification Programs That Include Both Theory and Practical Training
Explore top-tier aesthetic certification programs that blend theory with hands-on training — perfect for health care pros ready to elevate their practice
Declarations Aren’t Enough. Health Equity Needs Action, Healthcare Execs Say
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.
Are We in a Recession? Executives at HLTH Weigh In
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.
SCAN creates MA plan for LGBTQ+ seniors through partnership with Included Health
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.
Report: More than 11M middle-income seniors won’t be able to afford long-term care by 2033
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.
SCAN Health Plan to move into Texas, expand presence in Nevada
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.