Plans that familiarize themselves with the final rule and its requirements and prepare early will see a smoother transition in their prior authorization policies. They will also be able to provide more consistent, equitable care to a wider swath of their membership, helping to close gaps and ensure more people receive the best care possible.
"As policy makers consider alternatives to address potential overpayments in Medicare Advantage, they should also consider the evidence that MA plans provide fewer services while also achieving equal or better-quality performance relative to traditional Medicare on a broad array of measures,"
plans that are well prepared will be best positioned to continue providing high-quality, innovative care and succeeding in both the marketplace and in helping members live their healthiest lives.
We are constantly striving to provide the most comprehensive solutions for our clients, health plans administering government sponsored healthcare programs, and to deliver new capabilities to meet their needs
Organizations that explore these types of arrangements may strengthen their ability to fund solutions that both lower costs for the plan and improve the health of their most vulnerable members.
Multiple healthcare organizations have asked CMS not to finalize the proposal or to delay the proposed changes until further research is done on the potential impact.
MA plans that offer innovative supplemental benefits and design plans and outreach that resonate with the populations most likely to switch are likely to enjoy a bigger share of the MA market as it continues to grow.
When it comes to new and innovative solutions for payers, AHIP is the place to be.
DASH is changing the way health plan executives, managers and supervisors view reporting and decision making.
MA plans that offer innovative supplemental benefits and design plans and outreach that resonate with the populations most likely to switch are likely to enjoy a bigger share of the MA market as it continues to grow.
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