Tag: Health Plans

Medicare Advantage Star Ratings: Personalized Engagement Drives Quality and Funding

Explore how personalized, data-driven member engagement strategies are essential for Medicare Advantage plans to maintain and improve Star Ratings, impacting funding and member retention.

House GOP Proposes Healthcare Reform Without ACA Subsidy Extension

House Republicans propose a healthcare bill aiming to lower costs and expand insurance options without extending ACA subsidies set to expire, amid legislative challenges.

Medicare Star Ratings Reveal Strong Link Between Medication Adherence and Cardiovascular Outcomes

A 2025 study highlights the significant correlation between Medicare Star Ratings for medication adherence and improved cardiovascular and diabetes-related clinical outcomes, underscoring the value of targeted health plan interventions.

Home-Based Care Drives Member Engagement Strategies at Leading Medicare Advantage Plans

Explore how leading Medicare Advantage plans like SCAN Health Plan and Kaiser Permanente boost member engagement through coordinated home-based care, care management, and addressing social determinants of health.

Aetna Expands Clinical Collaboration Program to Reduce Medicare Readmissions

Aetna scales its Clinical Collaboration program to ten hospitals, aiming to reduce 30-day Medicare readmissions and enhance care transitions for Medicare Advantage members by embedding nurses within hospital teams.

Reveleer Expands AI-Driven Value-Based Care Platform with Novillus Acquisition

Reveleer acquires Novillus to enhance its AI-driven value-based care platform, improving payer-provider collaboration, care gap closure, and clinical intelligence for health plans.

Medicare Advantage Enrollment Growth Continues Despite Slowdown

Medicare Advantage enrollment grows 3.9% in 2024 despite market challenges, marking a record total of 34.5 million enrollees.

Aetna Announces 2025 Medicare Product Offerings with $0 Premium Plans

Aetna unveils its comprehensive 2025 Medicare product offerings, featuring $0 premium plans, diverse options for Medicare beneficiaries, and a commitment to quality healthcare services.