It seems the only constant in Medicare Advantage (MA) and other government-sponsored programs is change, and this year was no exception. MA is entering its third decade facing challenges like funding cuts and changing reimbursement models. To succeed, many health plans are shifting focus to personalized benefits, value-based care initiatives, and improved member experiences. As a new administration prepares to take office, here are some of the programs and trends we’ll be watching in 2025. Read more here 👇 https://lnkd.in/gE_xzUps #medicare #medicareadvantage #digitalhealth #healthplans #valuebasedcare #2025predictions #2025healthtrends Ashish V. Shah, Sherman Sanchez, Travis Woyner, Mary Naylor, NewCourtland Center for Transitions and Health, Andrew Walsh, First Analysis
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Teladoc Health’s innovative approach to helping Medicare Advantage plans outperforms National average Star Ratings consistently. Our whitepaper reveals how personalized, integrated virtual care strategies can engage members and help health plans achieve their strategic objectives. Please reach out to connect and hear specifics! https://lnkd.in/gTchin2v #Medicare #VirtualCare
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Providers and health systems implementing innovative models are rewarded for ensuring #RightCareRightTimeRightSetting. One example is Trinity Health’s MediGold Medicare Advantage a #HealthCareInnovation that results in better patient outcomes. Learn more about the MediGold total cost of care payment model and then Take Action and ask Congress to advance patient-first models: https://lnkd.in/g58BUfDb
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Providers and health systems implementing innovative models are rewarded for ensuring #RightCareRightTimeRightSetting. One example is Trinity Health’s MediGold Medicare Advantage a #HealthCareInnovation that results in better patient outcomes. Learn more about the MediGold total cost of care payment model and then Take Action and ask Congress to advance patient-first models: https://lnkd.in/g58BUfDb
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Discover Teladoc Health’s innovative approach to helping Medicare Advantage plans improve Star Ratings. Our whitepaper reveals how personalized, integrated virtual care strategies can engage members and help health plans achieve their strategic objectives. https://lnkd.in/gDgxDUgr #Medicare #VirtualCare
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Providers and health systems implementing innovative models are rewarded for ensuring #RightCareRightTimeRightSetting. One example is Trinity Health’s MediGold Medicare Advantage a #HealthCareInnovation that results in better patient outcomes. Learn more about the MediGold total cost of care payment model and then Take Action and ask Congress to advance patient-first models: https://lnkd.in/g58BUfDb
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In Part 2 of our Medicare Advantage series, we dive into the critical data-centric issues facing Medicare Advantage (MA) programs. From fragmented data systems to the lack of standardized metrics, these challenges impact both the providers and patients. Discover how these issues affect quality care and learn about solutions needed to improve patient outcomes. Read More – https://lnkd.in/gpTPD4i6 #MedicareAdvantage #HealthcareData #PostAcuteCare #HomeHealth #Hospice #HealthCare #MHA #MaxwellHCA #MHADifference
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Yesterday, lawmakers released a health care funding package that includes a one-year extension of Medicare's advanced alternative payment model (APM) incentive at 1.88 percent and freezes thresholds to qualify for the incentive. The package also includes a 1.68 percent increase to #Medicare physician payment. NAACOS Statement on Extension of Value-Based Care Incentives (Attributed to Clif Gaus, Sc.D., President and CEO of the National Association of ACOs): "NAACOS thanks Congress for including an extension of the advanced alternative payment model (APM) incentive at 1.88 percent in the Consolidated Appropriates Act of 2024. This incentive is critical to supporting clinicians who are accountable for improving quality and lowering costs for patients. We also appreciate that Congress included a 1.68 percent increase in physician payment. These two provisions recognize that we need to ensure that clinicians are paid adequately and have strong incentives to participate in value-based care. Clinicians in value-based care change delivery, improve care coordination, and offer patients additional services not covered by Medicare. Participation in value-based care is not where Congress intended when these incentives were created nearly a decade ago. We look forward to working with Congress to craft a long-term solution to physician payment that creates sustainability and rewards value." https://lnkd.in/g-8KffpW #valuebasedcare #healthcarepayment
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In case you missed it, Congress over the weekend released details on its latest funding package. It includes several so-called "health extenders," among them were policies related to physician payment. But let's look at these numbers more closely. The package would grant a 1.88% bonus for qualifying participation in an Advanced Alternative Payment Model in 2024. This is estimated to equate to roughly $730 million. The package would also grant a 1.68% increase in the Physician Fee Schedule's conversion factor update. That too would equate to roughly $730 million. Stated differently, Congress is giving the same amount of money for value-based care incentives as it is to straight fee-for-service payments in 2024, despite the outsized attention and lobbying the latter received. That speaks volumes about how much policymakers prioritize value-based care and the need to shift our payment system to one that encourages better outcomes at lower costs.
Yesterday, lawmakers released a health care funding package that includes a one-year extension of Medicare's advanced alternative payment model (APM) incentive at 1.88 percent and freezes thresholds to qualify for the incentive. The package also includes a 1.68 percent increase to #Medicare physician payment. NAACOS Statement on Extension of Value-Based Care Incentives (Attributed to Clif Gaus, Sc.D., President and CEO of the National Association of ACOs): "NAACOS thanks Congress for including an extension of the advanced alternative payment model (APM) incentive at 1.88 percent in the Consolidated Appropriates Act of 2024. This incentive is critical to supporting clinicians who are accountable for improving quality and lowering costs for patients. We also appreciate that Congress included a 1.68 percent increase in physician payment. These two provisions recognize that we need to ensure that clinicians are paid adequately and have strong incentives to participate in value-based care. Clinicians in value-based care change delivery, improve care coordination, and offer patients additional services not covered by Medicare. Participation in value-based care is not where Congress intended when these incentives were created nearly a decade ago. We look forward to working with Congress to craft a long-term solution to physician payment that creates sustainability and rewards value." https://lnkd.in/g-8KffpW #valuebasedcare #healthcarepayment
‘Skinny’ Health Package Scales Back Doc Fix, Adds CHC Funding
insidehealthpolicy.com
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Higher medical spending could be the new normal in Medicare Advantage — and insurers will have to find a way to respond, according to a recent McKinsey & Company report. Savings will need to come from both medical costs and value-based care, as well as administrative expenses and product design changes, the report said. Yet this does not lessen the need to invest sufficiently to achieve growth expectations and Star-rating goals. How can plans respond? Read our latest blog post here 👇 https://lnkd.in/eQTzZk_k #medicareadvantage #valuebasedcare #medicalcosts #healthplans #starratings #healthcare #healthcarepolicy
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Discover Teladoc Health’s innovative approach to helping Medicare Advantage plans improve Star Ratings. Our whitepaper reveals how personalized, integrated virtual care strategies can engage members and help health plans achieve their strategic objectives. https://lnkd.in/gTchin2v #Medicare #VirtualCare
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