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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...
From Barriers to Solutions: Transformative Member Engagement on PopHealth Week Podcast

From Barriers to Solutions: Transformative Member Engagement on PopHealth Week Podcast

I recently had the pleasure of participating in a compelling episode of PopHealth Week, hosted by Fred Goldstein and Gregg Masters on the Healthcare NOW Radio platform. Together, we delved into the complexities of patient and member engagement, emphasizing the crucial...
Health Plan Member Engagement and CAHPS Elevated to a Year-Round Priority

Health Plan Member Engagement and CAHPS Elevated to a Year-Round Priority

Member satisfaction isn’t just a metric; it’s a crucial determinant of a health plan’s success. Beyond inherent value in bolstering quality scores such as Stars and Consumer Assessment of Healthcare Providers and Systems (CAHPS), member satisfaction directly...
We Are Members Too: Time for Health Plans to Rethink Member Outreach

We Are Members Too: Time for Health Plans to Rethink Member Outreach

At 86Borders, we believe that we are members too. Just like a health plan’s most vulnerable members, we have families, healthcare needs, responsibilities of daily living, and the desire for a seamless and positive healthcare experience. That’s why we’ve built our...
Understanding Member Reluctance and Best Practices for Effective Outreach: Takeaways from Modern Healthcare

Understanding Member Reluctance and Best Practices for Effective Outreach: Takeaways from Modern Healthcare

I recently had the pleasure of sitting down with Kara Hartnett at Modern Healthcare to contribute to her article, Distrustful patients, scarce resources hamper social needs screening. Our discussion centered on how the focus in healthcare has broadened from solely...

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