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Medicare Advantage in 2025: How to Handle CMS Changes, High Utilization, and SDOH Shifts

Medicare Advantage in 2025: How to Handle CMS Changes, High Utilization, and SDOH Shifts

In a recent conversation with Susan Morse, Executive Editor at Healthcare Finance News, for HIMSS TV’s Digital Checkup, I had the opportunity to discuss the growing challenges facing Medicare Advantage (MA) insurers and the importance of adapting new strategies to...
CMS Rebrands HEI to EHO4all: Breaking Down the Benefits for Health Plans Part One

CMS Rebrands HEI to EHO4all: Breaking Down the Benefits for Health Plans Part One

Health equity has always been the turning tide for the healthcare industry, but now regulatory leaders have pushed this effort to the top of the list. A subset of measures calculated in CMS Star Ratings includes the social risk factors for low-income, dually eligible,...
Five Stars Traps to Avoid in 2025: Insights from our Chief Medical Officer

Five Stars Traps to Avoid in 2025: Insights from our Chief Medical Officer

Dr. Bonnette, Chief Medical Officer, kicked off a video series with Slice of Healthcare to help health plan leaders rethink their approach to CMS Star Ratings. In Part 1 of this recap, we break down his top takeaways from the first two conversations. CMS recently...
From 86 to Access: Transformative Care Conversations with Dr. Zeev Neuwirth

From 86 to Access: Transformative Care Conversations with Dr. Zeev Neuwirth

Healthcare access isn’t just about technology – it’s about human connection. Dan McDonald recaps the latest episode of Creating A New Healthcare where he and Lauren Barca discuss the intersect of technology and empathy. On a recent episode of Creating A New Healthcare...
CMS 2024 Final Rule: Recap Health Payer Specialist Article to Achieve Success Under Health Equity

CMS 2024 Final Rule: Recap Health Payer Specialist Article to Achieve Success Under Health Equity

CMS’s Excellent Health Outcomes for All demands that plans use social determinants data to reduce care disparities through impactful operational changes. Lauren Barca shares valuable steps to take now in her recent Health Payer Specialist article. As part of The...
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