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joformal
Mar 25, 20241 min read
UHC ‘Self-dealing’
More than just interesting: Untied Health Care 's 'self-dealing' is detailed in a new investigative article. Self-dealing is defined as...
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joformal
Mar 25, 20241 min read
HCSC Acquiring Cigna’s Medicare Units
HCSC will acquire Cigna's Medicare units, including Medicare Advantage, Medicare supplement and Medicare drug plans for $3.3...
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joformal
Mar 25, 20241 min read
MA Profitability Margins Declining
MA continues to grow, but there are signs that its profitability is on the decline with margins declining from 4.9 percent in 2019 to 3.4...
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joformal
Mar 25, 20241 min read
Prior Authorization Rates in MA Star Ratings
The Federation of American Hospitals is urging CMS to integrate a quality measure in the MA star ratings system that mandates health...
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joformal
Mar 25, 20241 min read
CMS Wants to Increase MA Rates by $16 Billion in 2025
Medicare Advantage rates will go up by 3.7 percent in 2025, giving plans an extra $16 billion compared with this year, according to the...
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joformal
Mar 25, 20241 min read
CMS has clarified insurer's use of AI and algorithms in patient care.
A CMS memo to MA plans sent last week said "An algorithm that determines coverage based on a larger data set instead of the individual...
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joformal
Mar 25, 20241 min read
The Blues Hold Over One-Third of Health Insurance Market
As of September 30, 2023, Blue Cross Blue Shield membership held 37 percent of the U.S. health insurance (Individual plus Employer-based,...
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joformal
Mar 25, 20241 min read
Big Six Insurers Continue to Profit on MA Even with Higher Utilization
Medicare Advantage plans sold by the country's largest insurers all showed profits last year even though utilization rates by seniors...
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joformal
Mar 25, 20241 min read
Private Insurers See Big Money in Dual Eligibles
People eligible for both Medicare and Medicaid, known as dual eligibles, are expected to generate billions of dollars in profit for...
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joformal
Feb 2, 20241 min read
2024 Quality Benchmarks
The latest benchmarks for the quality committee are now posted on the Quality Dashboard. Have questions? Please contact your ILASN...
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joformal
Feb 2, 20241 min read
Annual Meeting is scheduled
This would be our first announcement for people to see on the front page of the membership dashboard.
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