Neuse Consulting Group的动态

?? Attention Medicare Clients! ?? Big changes are coming to Medicare Advantage plans in 2025, including reductions in plan offerings and benefits like fitness reimbursements. Now is the perfect time to prepare. Call Neuse Consulting now to be at the front of the line for the Annual Enrollment Period (AEP) in October. ?? As your advocate, we look forward to helping you find the plan that fits your personal situation. Don’t navigate these changes alone! Contact us today. #MedicareAdvantage #HealthcareChanges #PlanRight

Prepare now for Annual Enrollment 2025. The changes will be numerous across all Medicare Advantage plans. Soaring costs and under utilization will cut or eliminate many so called ‘benefits.’

As open enrollment season for Medicare continues, here’s an important reminder why you shouldn’t take a set-it-and-forget-it approach to your coverage. If you want help aligning your benefits with your lifestyle, health and financial situation, let’s connect. #Medicare #OpenEnrollment #MedicareOpenEnrollment #December #Benefits #HealthInsurance

Medicare Advantage Quality Bonus Payments Set to Hit $11.8 Billion in 2024 Exciting news in the healthcare space! Medicare Advantage plans are set to receive at least $11.8 billion in quality bonus payments next year, according to a new analysis by KFF. These bonuses, based on the quality ratings of Medicare Advantage plans, reflect the government’s commitment to incentivizing higher standards of care. What This Means for Healthcare Providers: ~Increased Focus on Quality: With substantial bonuses on the line, plans are under pressure to prioritize patient outcomes and satisfaction. ~Impact on Care Delivery: These funds are expected to drive innovation and improvements in care coordination, benefiting both providers and patients alike. As Medicare Advantage continues to grow in importance, it’s crucial for providers to align with the highest-quality plans to maximize their potential for success in the value-based care landscape. Read more about these changes and their implications by clicking the article below: #Healthcare #MedicareAdvantage #ValueBasedCare #HealthcareInnovation #Medicare

Medicare Advantage has surpassed original Medicare in total enrollment, capturing over 50% of the market in 2023. However, the path to 64% by 2033 is uncertain and fraught with challenges. Lower payments from CMS, market consolidation, and rising member utilization costs create significant headwinds for future growth, signaling urgent and important challenges for insurers and beneficiaries. https://bit.ly/3ToaRFo HealthLeaders #HealthPlans #payments

As Medicare Advantage plans look to the future and how to maximize their Star Ratings program, learn how Tivity Health’s WholeHealth Living, along with our SilverSneakers program, can give you an advantage. Learn more at wholehealthliving.com #starsratings #medicareadvantage

2025 Final Rule on Supplemental Benefit There is no question that Medicare beneficiaries are overwhelmingly satisfied with Medicare Advantage plans, enrollment in the program is increasing year over year, and participating managed care plans are offering a rapidly growing array of new and innovative benefits. These innovative benefits are a a key reason for the program’s popularity among Medicare beneficiaries. In the early years, these benefits took the form of dental and vision, with Bipartisan Budget Act of 2018, CMS expanded the definition of “primarily health related” supplemental benefits. Medicare plans leaned heavily into this policy opportunity over the last few years, as of 2022, over 99% of Medicare Advantage plans offered at least one supplemental benefit. The most frequently offered benefits were vision, hearing, fitness, and dental. However, at the same time, there’s indication that beneficiary utilization of many supplemental benefits is low. Starting 2025, CMS is requiring Medicare Advantage plans to issue a “Mid-Year Enrollee Notification oof Unused Supplemental Benefits” annually, between June 30 and July 31 of the plan year, that is personalized to each enrollee, and that includes a list of any supplemental benefits not accessed by the individual during the first six months of the year. In addition, the notification will include the scope of the benefit, cost-sharing, instructions on how to access the benefit etc. While this new requirement introduces additional administrative complexity for the plans, doing so effectively can significantly enhance member satisfaction and retention. If you’d like to learn more about how One Health Link’s innovative technology can help your plan meet this CMS requirement in a cost-effective manner while improving member satisfaction and retention, feel free to contact us at [email protected] #medicare #cy2025finalrule #medicareadvantage #supplementalbenefit

?? Navigating the World of Medicare Enrollment Periods ?? Understanding the ins and outs of Medicare Enrollment Periods can be the key to ensuring you receive the best healthcare coverage without unnecessary stress. At Two Agencies Inc., we’re passionate about making this process as smooth as possible for everyone. Let’s dive into the essential enrollment phases: ?? **Initial Enrollment Period (IEP)** Your journey into Medicare typically begins with the Initial Enrollment Period. This 7-month window includes: - 3 months before you turn 65 - The month of your birthday - 3 months after your birthday During this time, you have the opportunity to enroll in Medicare Parts A and B. Missing this period could result in late fees, so mark those calendars! ?? ?? **General Enrollment Period (GEP)** If you missed your IEP, fear not! The General Enrollment Period, which runs annually from January 1st to March 31st, is your second chance. However, coverage won’t start until July 1st, and late fees may still apply. ?? **Special Enrollment Period (SEP)** Life tends to throw curveballs, and that’s where the Special Enrollment Period comes in. This flexibly-timed option is available if you’re losing employer coverage or experiencing other qualifying events. Keep in mind that documentation is often required to validate your circumstances. ?? **Key Consideration: The Annual Election Period (AEP)** - Dates: October 15th to December 7th - Action: Review and make changes to your Medicare Advantage or Part D plans. Choosing the right plan during the AEP could mean significant savings and better coverage for the coming year, so be thorough and explore all your options. ?? **Medicare Advantage Open Enrollment Period (OEP)** From January 1st to March 31st, if you’re already on a Medicare Advantage Plan, you can switch to a different one or revert to Original Medicare. This doesn’t include Part D stand-alone plans, so choose wisely. With these key periods in mind, it’s crucial to stay informed and proactive. Your health and peace of mind are worth the effort! ?? ? Here at Two Agencies Inc., we are always ready to clarify any doubts and assist you in making the most of your Medicare journey. Reach out today, and let’s conquer those enrollment periods together! ? #Medicare #HealthCare #EnrollmentPeriods #TwoAgenciesInc

?? Medicare Updates for 2025: What You Need to Know As healthcare professionals and beneficiaries, it's crucial to stay informed about upcoming Medicare changes. Here are some key points to consider: ? Medicare Part A deductibles: +2.7% ? Medicare Part B premiums: $185/month (up 6%) ? Prescription drug savings cap: $2,000/year ? Social Security COLA: 2.5% These changes can significantly impact your healthcare budget. It's essential to understand how these updates will affect you and plan accordingly. For a comprehensive breakdown of these changes and how they might impact you, check out our in-depth analysis: https://bit.ly/3Zjn2XD Let's discuss: How are you preparing for these changes? What strategies are you using to manage your healthcare costs? #Medicare #HealthcarePlanning #FinancialWellness

"If you actually then look at it through the lens of the original initial intent of the program, the program that aligns most clearly with the original intent of Medicare is Medicare Advantage." SCAN CEO Sachin H. Jain, MD, MBA shares how #MedicareAdvantage is far ahead of traditional #Medicare in driving value with FierceHealthcare https://ow.ly/TfkZ50SpFOj