Special needs plan

Despite slowing growth and regulatory headwinds, Medicare Advantage enrollment remains strong and outlook positive

Retrieved on: 
Tuesday, March 5, 2024

CHICAGO, March 5, 2024 /PRNewswire/ -- Chartis, a comprehensive healthcare advisory firm, today announced the release of its annual 2024 Medicare Advantage competitive enrollment report. This year's report is a collaboration between Chartis and HealthScape Advisors, A Chartis Company. Together, they help payers and providers manage transformational change in a rapidly evolving healthcare ecosystem that is increasingly defined by payer-provider convergence.

Key Points: 
  • This year's edition of the report shows that despite strong enrollment gains, market growth appears to be slowing.
  • The Medicare Advantage market grew by 1.7 million beneficiaries (+5.4%) in 2023, slowing down from the record growth of 2.7 million (+9.4%) in 2022.
  • This ongoing enrollment growth is fueled by an increasing senior market but is overshadowed by regulatory pressures, declining quality scores, and rising medical costs.
  • In addition to top-line enrollment statistics and executive sentiment, Chartis' 2024 Medicare Advantage report analyzed:
    Special Needs Plan (SNP) growth: SNP enrollment has surged, adding 1.2 million members.

Mark Farrah Associates Assessed the 2024 Competitive Medicare Advantage Market

Retrieved on: 
Monday, October 30, 2023

Mark Farrah Associates (MFA), www.markfarrah.com , released an analysis presenting a brief assessment of the 2024 Medicare market landscape.

Key Points: 
  • Mark Farrah Associates (MFA), www.markfarrah.com , released an analysis presenting a brief assessment of the 2024 Medicare market landscape.
  • With the 2024 Annual Election Period (AEP) well underway, health plans invested in Medicare Advantage (MA) business have been eagerly marketing their products to attract more seniors.
  • MFA reported 5,805 distinct MA plan offerings are in the market lineup for the current 2024 AEP.
  • This includes MA plans, Medicare Advantage with prescription drug plans (MAPDs), Medicare/Medicaid plans (MMPs), and Special Needs Plans (SNPs).

Group Health Cooperative of Eau Claire Partners With Belong Health to Simplify Care for the D-SNP Population in Western and Central Wisconsin

Retrieved on: 
Tuesday, October 3, 2023

It will connect D-SNP members with the health benefits they need while providing robust care management to improve their quality of care.

Key Points: 
  • It will connect D-SNP members with the health benefits they need while providing robust care management to improve their quality of care.
  • Through partnerships with community health plans like Group Health Cooperative of Eau Claire, Belong Health helps launch or grow market-leading Medicare Advantage and Special Needs Plans to deliver a more compassionate, straightforward insurance experience for their members.
  • “At Belong Health, we believe high-quality health care should be accessible to all and that community-based health plans are best positioned to serve their communities as their trusted health insurance partners,” said Belong Health CEO J. Patrick Foley.
  • “We recognize and respect the important role health plans like Group Health Cooperative of Eau Claire play locally and the years they have spent establishing trusted relationships.

Humana’s 2024 Medicare Advantage Health Plan Offerings Designed With Affordability, Customer Feedback in Mind

Retrieved on: 
Sunday, October 1, 2023

Leading health and well-being company Humana Inc. (NYSE: HUM) today announced its Medicare Advantage and Medicare Prescription Drug Plan offerings for 2024, informed by extensive research regarding what Medicare-eligible consumers want and need from a plan.

Key Points: 
  • Leading health and well-being company Humana Inc. (NYSE: HUM) today announced its Medicare Advantage and Medicare Prescription Drug Plan offerings for 2024, informed by extensive research regarding what Medicare-eligible consumers want and need from a plan.
  • View the full release here: https://www.businesswire.com/news/home/20231001029987/en/
    Humana, ranked #1 among health insurers for customer experience by Forrester for the third year in a row, has announced its Medicare Advantage plan offerings for 2024.
  • Humana is offering Medicare Advantage plans for the first time in 39 new U.S. counties, expanding cost-effective health plan choices for Medicare beneficiaries.
  • Humana has Medicare Advantage plan offerings in 49 states, Washington, D.C., and Puerto Rico, covering 94% of U.S. counties.

Value-based Innovation Veteran Dr. Jamie Sharp to Join Rippl as Chief Medical Officer

Retrieved on: 
Tuesday, September 26, 2023

SEATTLE, Sept. 26, 2023 /PRNewswire/ -- Rippl Care, a pioneering specialty provider in dementia care, is excited to announce the appointment of Dr. Jamie Sharp as its new Chief Medical Officer.

Key Points: 
  • SEATTLE, Sept. 26, 2023 /PRNewswire/ -- Rippl Care, a pioneering specialty provider in dementia care, is excited to announce the appointment of Dr. Jamie Sharp as its new Chief Medical Officer.
  • Dr. Sharp brings a wealth of deep value-based, clinical experience and expertise from her previous roles, most recently serving as the Vice-President and Chief Medical Officer for Medicare at Aetna/CVS.
  • "I am thrilled to join the Rippl team and contribute to the mission of transforming healthcare for a group of underserved and undervalued seniors," said Dr. Sharp.
  • The Rippl team eagerly anticipates Dr. Sharp's arrival; she will officially assume her new role as Chief Medical Officer on October 9th.

Author Health Debuts to Care for Seniors with Serious Mental Illness

Retrieved on: 
Wednesday, June 28, 2023

Author Health launched today as one of the first platforms to provide comprehensive care and treatment for Medicare Advantage recipients with serious mental illness and substance use disorders.

Key Points: 
  • Author Health launched today as one of the first platforms to provide comprehensive care and treatment for Medicare Advantage recipients with serious mental illness and substance use disorders.
  • Author Health has received $115 million in financing led by General Atlantic, a leading global growth equity firm, with participation from Flare Capital Partners.
  • “Every day, our nation experiences the devastating effects untreated mental health and substance use disorders have on individuals, families, and our communities,” said Humana President and CEO Bruce Broussard.
  • “Author Health was born out of the necessity to fundamentally shift how our health system prioritizes behavioral health and preventive services.

Humana and Longevity Health Partner to Expand Access to Special Needs Plans for Medicare Beneficiaries

Retrieved on: 
Thursday, May 4, 2023

Longevity Health Plan and Humana Inc. (NYSE: HUM) today announced a new partnership to expand special needs health plan offerings that support the unique requirements of Medicare-eligible individuals living in skilled nursing and senior living facilities.

Key Points: 
  • Longevity Health Plan and Humana Inc. (NYSE: HUM) today announced a new partnership to expand special needs health plan offerings that support the unique requirements of Medicare-eligible individuals living in skilled nursing and senior living facilities.
  • The partnership will launch in South Carolina and Georgia this year and then expand to five more states in 2024 with additional states being added in 2025.
  • Longevity collaborates with facilities to provide comprehensive care that addresses the medical, social and emotional needs of members who reside there, typically vulnerable individuals with multiple complex conditions.
  • Approximately 5.7 million of those members are enrolled in a Medicare Advantage plan.

Manatt Deepens Home-Based and Long-Term Care Capabilities With Prominent Health Leader in D.C.

Retrieved on: 
Thursday, May 4, 2023

“Innovation is a critical part of enhancing the health care delivery system, something Edo has brought to bear through his in-depth knowledge of health care law and policy across the industry,” said Donna L. Wilson , CEO and Managing Partner of Manatt.

Key Points: 
  • “Innovation is a critical part of enhancing the health care delivery system, something Edo has brought to bear through his in-depth knowledge of health care law and policy across the industry,” said Donna L. Wilson , CEO and Managing Partner of Manatt.
  • He advises on a variety of federal and state regulatory matters, including the Health Insurance Portability and Accountability Act (HIPAA), fraud and abuse, administrative appeals, privacy and consent, and state licensing issues.
  • He also counsels clients on Medicare-Medicaid program integrity and overlap as well as on coordinating Medicaid home health partnerships.
  • “Over the years, Edo has worked with a wide range of health care stakeholders—ranging from payers and providers to states and academic medical centers—across government and law, building a thorough understanding of the complex long-term care landscape through various perspectives,” said Manatt Health Leader Bill Bernstein .

PointClickCare Advances the Transition Toward Value-Based Care with Acquisition of Patient Pattern

Retrieved on: 
Wednesday, March 15, 2023

PointClickCare Technologies , a leading healthcare technology platform enabling meaningful collaboration and access to real‐time insights at every stage of the patient healthcare journey, today announced the acquisition of Patient Pattern .

Key Points: 
  • PointClickCare Technologies , a leading healthcare technology platform enabling meaningful collaboration and access to real‐time insights at every stage of the patient healthcare journey, today announced the acquisition of Patient Pattern .
  • The shift to value-based care continues to accelerate each year, especially as providers are increasingly taking on more risk.
  • “As our customers continue to embrace value-based care and see the success of this model, we are excited to deploy Patient Pattern’s care management platform.
  • Through this acquisition, PointClickCare will further enable providers to take a comprehensive approach to frailty, ultimately providing better overall care planning.

STRATOS WEALTH HOLDINGS CONTINUES ITS ADVISOR GROWTH IN 2022

Retrieved on: 
Tuesday, January 24, 2023

BEACHWOOD, Ohio, Jan. 24, 2023 /PRNewswire/ -- Stratos Wealth Holdings ("Stratos"), a family of companies focused on the support and success of independent financial advisors, added 23 financial advisors managing more than $3.6 billion in assets under advisement on their prior platforms.

Key Points: 
  • BEACHWOOD, Ohio, Jan. 24, 2023 /PRNewswire/ -- Stratos Wealth Holdings ("Stratos"), a family of companies focused on the support and success of independent financial advisors, added 23 financial advisors managing more than $3.6 billion in assets under advisement on their prior platforms.
  • "Our culture and value proposition continues to resonate strongly with financial advisors throughout the country.
  • Stratos made several key minority equity stake acquisitions during 2022, including a controlling interest in NSC Asesores ("NSC"), a premier wealth management and investment firm headquartered in Mexico City.
  • The advisor practices and talent we have brought on continue to help fuel the growth of their respective practices as well as Stratos'."