Center for Medicare and Medicaid Innovation

CONSUMER ALERT: Medicare Advisory Chapter Explains How to Ensure Seniors are Working with an Honest Broker to Help Find the Best Medicare Plan for Their Financial and Medical Needs

Retrieved on: 
Tuesday, October 11, 2022
Consulting, Personal Finance, Professional Services, Other Health, Health, General Health, Seniors, Health Insurance, Other Professional Services, Insurance, Consumer, Chapter, Inflation, Caregiver, Insurance, Pharmacy, Government, Centers for Medicare & Medicaid Services, Center for Medicare and Medicaid Innovation, CMS, Technology, Medicare Part D, Health, CEO, Ecosystem, Elijah Cummings Lower Drug Costs Now Act, Federation, MA, Travel, Center, Prescription, Language, Health insurance, Health care, Medicare, Amazon

Medicare brokers encourage seniors to sign up for certain insurance plans, even if those plans arent the best ones for seniors financial situation or specific healthcare issues.

Key Points: 
  • Medicare brokers encourage seniors to sign up for certain insurance plans, even if those plans arent the best ones for seniors financial situation or specific healthcare issues.
  • However, most Medicare brokers dont offer all Medicare plans available to seniors.
  • A typical county has more than 35 Medicare Advantage plans available and hundreds of Medicare plans across all types of medical and drug coverage.
  • Chapters free Medicare advisory team and technology platform searches every Medicare plan option nationwidemore than 24,000to make the best possible recommendation.

HAP's Medicare Advantage HMO earns 4.5-star rating; PPO earns 4-star rating

Retrieved on: 
Friday, October 7, 2022
Centers for Medicare & Medicaid Services, Hospital, CMS, HAP, Multimedia, Center, HMO, Center for Medicare and Medicaid Innovation, Health, CEO, Henry Ford Health System, PPO, Disease management, Hearing, View, Health insurance, Medicaid, Individual, Medicare

DETROIT, Oct. 7, 2022 /PRNewswire/ -- Health Alliance Plan (HAP), a Michigan-based, nonprofit health plan, is celebrating the fact that its Medicare Advantage HMO earned 4.5 stars (out of 5) from the Centers for Medicare and Medicaid Services (CMS) and its Medicare Advantage PPO earned 4 stars. CMS uses star ratings to measure the experiences Medicare beneficiaries have with their health plans to help consumers make informed decisions as they're choosing a Medicare Advantage plan for the coming year.

Key Points: 
  • DETROIT, Oct. 7, 2022 /PRNewswire/ -- Health Alliance Plan (HAP), a Michigan-based, nonprofit health plan, is celebrating the fact that its Medicare Advantage HMO earned 4.5 stars (out of 5) from the Centers for Medicare and Medicaid Services (CMS) and its Medicare Advantage PPO earned 4 stars.
  • CMS uses star ratings to measure the experiences Medicare beneficiaries have with their health plans to help consumers make informed decisions as they're choosing a Medicare Advantage plan for the coming year.
  • Health Alliance Plan (HAP) has HMO, HMO-POS, PPO plans with Medicare contracts.
  • HAP Medicare Complete Duals (HMO D-SNP) is a Medicare health plan with a Medicare contract and a contract with the Michigan Medicaid Program.

Priority Health leads in quality as the only Michigan-based Medicare plan to receive the highest possible rating of 5 stars from federal health agency

Retrieved on: 
Friday, October 7, 2022
Health Insurance, Professional Services, Health, Insurance, Physician, Office of Inspector General, U.S. Department of Health and Human Services, Medicaid, Centers for Medicare & Medicaid Services, Human services, POS, National Committee for Quality Assurance, CMS, Program, National Committee, Spectrum Health, Center, HMO, Center for Medicare and Medicaid Innovation, Medicare, Star, Quality assurance, PPO, NCQA, Priority, Health Star Rating System, Health insurance, Health

Priority Healths HMO Medicare Advantage product received 5 stars the highest possible rating from CMS; only 57 out of 507 plans nationwide earned 5 stars.

Key Points: 
  • Priority Healths HMO Medicare Advantage product received 5 stars the highest possible rating from CMS; only 57 out of 507 plans nationwide earned 5 stars.
  • Priority Health is a leader in quality and will continue offering better benefits and lower premiums for Medicare members.
  • The Medicare 5-Star Rating program is a national rating system used by CMS to shine a light on health plan quality and performance.
  • Learn more about affordable, quality health coverage options from Priority Health .

For Second Time, Humana Kentucky Medicare Advantage HMO Plan Achieves Prestigious 5-Star Rating

Retrieved on: 
Friday, October 7, 2022
Professional Services, Health, Insurance, Health Insurance, Managed Care, General Health, People, Quality of life, Physician, News, U.S. Securities and Exchange Commission, Dillon, St. Elizabeth Healthcare (Kentucky), Centers for Medicare & Medicaid Services, NYSE, Patient, CMS, History, Medicare Advantage, Center, HMO, ICD-10-CM, Center for Medicare and Medicaid Innovation, Medicare, Health, Star, PPO, MA, AEP, TTY, Managed care, Health Star Rating System, Inc., Health insurance, Medicine, Humana

Were proud to receive this prestigious achievement for the second year in a row, said Kathie Mancini, Medicare East Central Region President for Humana.

Key Points: 
  • Were proud to receive this prestigious achievement for the second year in a row, said Kathie Mancini, Medicare East Central Region President for Humana.
  • It recognizes our dedication to the well-being and health of Humana Medicare Advantage members and the Northern Kentucky communities we serve.
  • Humana Medicare Advantage member Pat Dillon of Erlanger, Kentucky, said the 5-star rating is well-deserved.
  • The Medicare Advantage and Prescription Drug Plan Annual Election Period (AEP) begins Oct. 15 and continues through Dec. 7, 2022.

Craig Behm named President and CEO for CRISP and CRISP Shared Services

Retrieved on: 
Wednesday, October 5, 2022
COVID-19, Technology, Hospitals, Public Policy, Government, Biotechnology, Managed Care, Health, State, Local, Data Management, Medicaid, Master of Business Administration, Bachelor of Arts, Maryland Department of Health, DC, Business administration, Center for Medicare and Medicaid Innovation, VP, Accountable care organization, HIE, Political positions of Cory Booker, District, Patient, Health information exchange, Loyola University, University of Maryland, College Park, Executive, Technology, CRISP, University, Solution, Center, Infection, Serving His Children, Medicare, Industry, Health, Department, Legislation, CEO, Vaccination, University of Maryland, Baltimore County Centers and Institutes, Emergency medical services, Bachelor, Maryland Department of Commerce, COVID-19, CSS, Health information technology, History of the University of Maryland, College Park, Leadership, Pharmaceutical industry, Management, Hospital, Behm

As part of the COVID-19 response efforts, CRISP mastered lab results and vaccination data to enable a data-driven pandemic response in their region.

Key Points: 
  • As part of the COVID-19 response efforts, CRISP mastered lab results and vaccination data to enable a data-driven pandemic response in their region.
  • CRISP shares the technologies it develops with other HIEs nationwide through CRISP Shared Services.
  • Behm replaces David Horrocks, who was president and CEO of CRISP when it was created in 2009.
  • CRISP Shared Services (CSS) is a nonprofit support organization that provides technology infrastructure and other core services to Health Information Exchanges (HIEs) across the country.

United Language Group Expands Healthcare Navigator Program

Retrieved on: 
Tuesday, October 4, 2022
People, ULG, Medicare, LEP, Navigator, Carolina, Public health, Center, Center for Medicare and Medicaid Innovation, Insurance, Program, Health equity, Patient, Language, Health, Centers for Medicare & Medicaid Services, GLOBE, Health insurance, Risk management

Charlotte, North Carolina, Oct. 04, 2022 (GLOBE NEWSWIRE) -- United Language Group (ULG) today announced that funding for the second year of a three-year, $1.3 million grant from the Centers for Medicare and Medicaid Services has been confirmed, in recognition of the value of ULGs bilingual healthcare Navigator program.

Key Points: 
  • Charlotte, North Carolina, Oct. 04, 2022 (GLOBE NEWSWIRE) -- United Language Group (ULG) today announced that funding for the second year of a three-year, $1.3 million grant from the Centers for Medicare and Medicaid Services has been confirmed, in recognition of the value of ULGs bilingual healthcare Navigator program.
  • Melissa Lopez, a Navigator at ULG , continues: The Navigator program is important because we are able to provide the resources and information needed for the community to have the healthcare they deserve.
  • In its first year, ULGs Navigator program helped 620 people sign up for health insurance on the federal marketplace and make more informed healthcare decisions.
  • About United Language Group: For over 20 years, United Language Group (ULG) has provided the language services required to overcome language barriers in a global marketplace.

Santa Clara Family Health Plan announces launch of DualConnect (HMO D-SNP) - a Medicare Medi-Cal plan for qualifying dual eligible Santa Clara county residents

Retrieved on: 
Monday, October 3, 2022
OTC, Medicare, Pharmacy, Plasma protein binding, Silicon, Department, Health, TTY, HMO, Cal, YMCA, California Department of Health Care Services, Partnership, SAN, YMCA Training, Inc. (Boston), Prescription, Center for Medicare and Medicaid Innovation, Language, Medi-Cal, Health insurance

SAN JOSE, Calif., Oct. 3, 2022 /PRNewswire-PRWeb/ -- Starting October 15, 2022, eligible Santa Clara county residents can enroll in the integrated plan that combines their Medi-Cal and Medicare benefits (acute, primary, institutional, and home and community-based services) under a single plan to make managing health care easier. SCFHP's currently enrolled 10,480 Cal MediConnect members will also transition into DualConnect. Coverage for both newly enrolled SCFHP members and transitioning Cal MediConnect members will start January 1, 2023.

Key Points: 
  • During this year's Medicare Open Enrollment period, Santa Clara Family Health Plan (SCFHP) is launching SCFHP DualConnect (HMO D-SNP), a dual eligible special needs plan (D-SNP).
  • "Managing one's health is not easy, especially when juggling multiple government benefit programs," said Thien Ly, Director of Medicare Outreach.
  • In partnership with providers and community organizations since 1997, we work to ensure everyone in Santa Clara County has access to equitable, high-quality health care.
  • Cristina Hernandez, Santa Clara Family Health Plan, 408-874-1912, [email protected]

Health Net Awarded "Health Equity Accreditation Plus" by Prestigious National Committee for Quality Assurance

Retrieved on: 
Thursday, September 29, 2022
Institute, Income, NCQA, Health, Safety, Gaps, COVID-19, Medi-Cal, Medicare, NYSE, National Committee, National Committee for Quality Assurance, LLC, Telehealth, Divide, Accreditation, Centene Corporation, Organization, Company, Center for Medicare and Medicaid Innovation, Health equity, Program, Patient, Health Net, Medicaid, CEO, Homelessness, Solution, Commercial, Food, IMI, Quality assurance, Marketplace, CNC, Multimedia, Net, View, Hospital, Health insurance, Medicine, Pharmaceutical industry

SACRAMENTO,Calif., Sept. 29, 2022 /PRNewswire/ -- Health Net announced today that it is one of nine healthcare organizations in the nation to receive the first-ever Health Equity Accreditation Plus by the National Committee for Quality Assurance (NCQA) for all lines of business including Medi-Cal, Marketplace, Medicare and Commercial. This new, advanced designation builds on NCQA's foundational Health Equity Accreditation program. That program sets a robust framework for improving health equity by helping organizations identify and close care gaps.

Key Points: 
  • According to NCQA, standards for the new Health Equity Accreditation Plus designation include:
    Offering resources that support clinical and social needs.
  • The new NCQA designation comes on the heels of the Institute for Medicaid Innovation (IMI)'s recognition of Health Net for closing health equity gaps during the pandemic.
  • Based on its health equity programs, interventions and grants to community-based organizations, Health Net has documented key findings and recommendations that drive health equity.
  • We offer these health plans and other services through Health Net, LLC and its subsidiaries: Health Net of California, Inc., Health Net Life Insurance Company and Health Net Community Solutions, Inc.

Force Therapeutics Enables Provision of Remote Therapeutic Monitoring

Retrieved on: 
Thursday, September 29, 2022
Center, Medicare, Elective surgery, Force, CMS, Health, Center for Medicare and Medicaid Innovation, Thermoregulation, Therapy, Patient, Physician, CEO, Data collection, Medicine, Centers for Medicare & Medicaid Services, Heart rate, Documentation, Collection, CPT, RTM, Health care, RPM, Communication, Medical device, Health insurance, Pharmaceutical industry

NEW YORK, Sept. 29, 2022 /PRNewswire/ -- Today, Force Therapeutics announced the availability of its Remote Therapeutic Monitoring (RTM) solution, which allows health systems, physician practices, and ambulatory surgical centers to provide patients with virtual physical therapy and remote monitoring that adheres to CMS guidelines. The company's provider-prescribed digital care management platform is validated to provide compliant documentation for the new RTM Current Procedural Terminology (CPT) codes finalized by the Centers for Medicare and Medicaid Services.

Key Points: 
  • NEW YORK, Sept. 29, 2022 /PRNewswire/ -- Today, Force Therapeutics announced the availability of its Remote Therapeutic Monitoring (RTM) solution, which allowshealth systems, physician practices, and ambulatory surgical centers to provide patients with virtual physical therapy and remote monitoring that adheres to CMS guidelines.
  • The Force Therapeutics platform supports continual patient engagement with the delivery of provider-prescribed digital education, video content, and remote physical therapy to patients recovering from injury or surgery at home.
  • While remote patient monitoring (RPM) typically refers to the collection of physiological data such as heart rate and body temperature, remote therapeutic monitoring tools collect subjective, non-physiological data, such as information on the patient's medication adherence, pain level, and self-assessed outcomes.
  • Founded in 2010, Force Therapeutics is the leading patient engagement platform designed to help clinicians intelligently extend their reach.

CareDx to Host Symposium Covering Innovation in Multimodal Surveillance Including AiCAV for Post-Cardiac Transplant Care

Retrieved on: 
Thursday, September 29, 2022
Cardiology, Biotechnology, Surgery, Health, Artificial Intelligence, Technology, Genetics, Other Technology, ACR, Health, Probability, Disulfiram-like drug, Precision medicine, Centers for Medicare & Medicaid Services, Time, Risk, Transplant, FDA, MD, CMS, International Society for Heart and Lung Transplantation, Learning, Cedars-Sinai Medical Center, Program, Patient, Heart transplantation, Mount Sinai Health System, Multi, CEO, Annual report, Nasdaq, Leadership, EST, International Society, Caregiver, DNA, SEC, Center for Medicare and Medicaid Innovation, Dentistry, Medical device, Pharmaceutical industry, Heart, Success

For over two decades, CareDx has been leading innovation to improve outcomes for transplant patients and we are extremely proud to extend this leadership with AiKidney and AiCAV.

Key Points: 
  • For over two decades, CareDx has been leading innovation to improve outcomes for transplant patients and we are extremely proud to extend this leadership with AiKidney and AiCAV.
  • CareDx will host the symposium, Future of Post-Cardiac Transplant Care: Strategies to Predict and Improve Outcomes, on Sunday, October 2 from 5:30-7:00pm EST.
  • Shelley Hall, MD, Baylor Scott & White Health
    Evolving the Surveillance of Heart Transplant Rejection A Multi-modal Approach.
  • CareDx expressly disclaims any obligation, except as required by law, or undertaking to update or revise any such forward-looking statements.