RISE

RISE reviews the latest regulatory headlines: ? Study: 4M people will lose health insurance if premium tax credit enhancements expire ? Commonwealth Fund: Nearly 1 in 4 US adults are underinsured ? DOJ: Texas lab owner charged with role in $79M fraud scheme Read More: https://lnkd.in/gabRkAzB

“Tobacco use imposes a heavy toll on families across generations. Now is the time to accelerate our efforts to create a world in which zero lives are harmed by or lost to tobacco,” said Dr. Murthy in a statement. “This report offers a vision for a tobacco-free future, focused on those who bear the greatest burden, and serves as a call to action for all people to play a role in realizing that vision.”

President-elect Donald Trump on Tuesday?announced?he would nominate Mehmet Oz, 64, the television personality known as “Dr. Oz,” to serve as administrator of the Centers for Medicare & Medicaid Services. The announcement comes on the heels of his?plans?to have Robert F. Kennedy Jr. serve as the secretary of the Department of Health and Human Services. Both announcements were posted to Trump’s Truth Social platform.

We are pleased to announce AI expert Ken Huang, CISSP will be the keynote speaker at The?AI in Health Care Summit, January 12-14 in Phoenix. Huang will deliver a keynote address on how to empower business transformation and lead with AI across your organization. After the presentation, he will also sign copies of his new book, “The Handbook for Chief AI Officers: Leading the AI Revolution in Business.” Read More: https://lnkd.in/gpmDa_PF #RISEAI25

Two new KFF issue briefs provide a snapshot of #MedicareAdvantage premiums and benefits available for 2025. Take a look at 10 major trends: https://lnkd.in/gM-gSvGC

Don't miss our upcoming webinar on December 17, Medication Therapy Management: An Opportunity to Improve Health Outcomes, Star Ratings, and Medicare Advantage Performance, in partnership with Signify Health. With a new approach to your MTM program and MA member service strategy, your health plan can help mitigate health risks and associated costs while driving a valued experience with members and positively impacting your Star and quality measures. Register Here: https://buff.ly/3Cb4cbO #MedicareAdvantage #StarRatings #RiskAdjustment #PopulationHealth #ValueBasedCare

When it comes to improving CAHPS? results, health plans often face a challenging paradox: How can you personalize care and support at an individual level while still managing it across millions of members? Learn more about harnessing the power of advanced AI technology based on behavioral science principles in this article by our partners at MedOrion.

In the wake of lawsuits by several Medicare Advantage plans over their Star rating scores based on how their customer call centers handled phone calls, CMS plans to lower the weight of the measure. According to a CMS?download for the 2026 Star ratings measures, CMS will decrease the weight of patient’s experience and complaints, and capturing access measures (including call center measures) from 4 to 2 beginning with the 2026 Star ratings. Read More: https://lnkd.in/g4HzMAiz #MedicareAdvantage #StarRatings

RISE reviews the latest #SDoH headlines: ? HHS launches nationwide public awareness campaign highlighting maternal mental health hotline ? Study: Digital intervention reduces childhood obesity ? HHS: $44M in funding to support families’ financial well-being

In anticipation of a more favorable environment, shares of some of the biggest #MedicareAdvantage carriers surged in the wake of last week’s election results. S&P Global?reports?that United Health Group Inc’s stock price grew 5.1% between November 1 and November 6, and its shares increased $567.56 to $596.69 a share. Humana stock increased 10.7% during that same period and its shares jumped from $260.71 to $288.51 a share.?