TrustMed Solutions LLC的动态

As highlighted in the recent article from KFF Health News, Medicare Advantage plans are navigating significant cost pressures, with quality bonus payments expected to decline for the first time in over 8 years in 2024. Cost of care continues to rise as plans are just now seeing the true impact COVID-19 has had on the healthcare system. These financial challenges demand innovative solutions to ensure re-engagement of members, for both sustainability and impact to cost of care. At Sidekick Health, we are uniquely positioned to support MA plans in this evolving landscape through: ?? Multi-Chronic Condition Platform: We close care gaps by creating a seamless and frictionless member experience across multiple conditions and therapeutic areas. ?? Care Management Optimization: By leveraging multiple data points in a care journey with advanced AI optimization, we help MA plans streamline their care management processes, ultimately reducing both operational costs and cost of care. ?? Advanced Medication Adherence: 30% of bonus dollars are tied to medication adherence. We partner with the largest pharma companies in the world to provide the only strategic pharma-backed medication adherence engine in the marketplace today. ?? Measurable Outcomes: We achieve 25% reduction in 30 day readmits with one of the nation’s largest health plans, resulting in greater than 4x ROI. In a time where efficiency and cost of care outcomes are paramount, we believe that a single-platform approach to managing multi-condition chronic disease and optimizing care processes is key to navigating these cost pressures. Let’s collaborate on innovative solutions that not only address today’s challenges but also pave the way for a more sustainable future in Medicare Advantage. One platform. One experience. Better care. https://lnkd.in/er6Fxynh #SidekickHealth

Learn more about strategies for improving Star Ratings.

Star Ratings are pivotal for Medicare Advantage plans' financial stability. As CMS continues to revise the ratings program each year, Cotiviti's Marge Ciancetta shares strategies to focus on that are essential for success, especially for smaller plans. https://bit.ly/4dmTDkn Healthcare Business Today #HealthPlans #healthcare #payments

Star Ratings are pivotal for Medicare Advantage plans' financial stability. As CMS continues to revise the ratings program each year, Cotiviti's Marge Ciancetta shares strategies to focus on that are essential for success, especially for smaller plans. https://bit.ly/4dmTDkn Healthcare Business Today #HealthPlans #healthcare #payments

?? 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

Medicare Advantage enrollment has been steadily trending upwards since 2007, and over half (54%) of eligible Medicare beneficiaries are enrolled in Medicare Advantage plans in 2024 (compared to just 17% in 2007). Is your health plan prepared for this level of consistent growth? With decades of specialized expertise in assisting with the administration of government-sponsored #healthcare plans, RAM Technologies (Health Plan Software) provides fully integrated solutions that will help simplify your operations. Learn about our solutions for Medicare Advantage and Special Needs plans here: https://lnkd.in/eCSai3rG Learn more about key Medicare Advantage trends from KFF Health News: https://lnkd.in/gNZ-m_gh #medicare #medicareadvantage #medicaid #saas #healthtech #healthplans

2026 Medicare Advantage rates 'inadequate,' Elevance execs say CMS' proposed Medicare Advantage rates for 2026 are moving in the right direction, but still "insufficient" to cover rising costs in the program,?according?to Elevance Health executives. On a Jan. 23 earnings call, Felicia Norwood, executive vice president of government health benefits at Elevance Health, said the company is "very pleased" to see rates trending upwards after two years of cuts. "While the base rate reflects progress, I think, towards more adequate funding in the program, we still believe that it's insufficient in light of the cost trends that we've seen over the past year," Ms. Norwood said. The agency pitched a $21 billion boost in funding for the program overall, an increase of 4.33% from 2025. The proposed rate is higher than the 3.7% increase CMS estimates plans will get in 2025. Meanwhile, physicians serving Medicare patients are forced to take a pay cut beginning January 1, 2025. Maybe the Medicare Advantage plans should become accustomed to less reimbursement from Medicare and lessen their quest to generate unheard-of mind-boggling profits for the C suite and shareholders and address denying of medically necessary care and short-changing providers and beneficiaries. Medicare Advantage is about serving patient's healthcare needs as opposed to treating patients as mere profit centers #profitsfirst, #proffitcentermedicarebeneficiaries, #patientsasameanstoprofit, #patientasmeanstoend https://lnkd.in/ek6uVVi4

While in name they sound very similar, in practice they are quite different in what they cover. Having a clear understanding of Medicare vs Medicare Advantage Plans is crucial in evaluating your healthcare needs, especially as open enrollment for Original Medicare opens up. https://hubs.ly/Q02TwjjM0

With the annual enrollment period for Medicare Advantage (MA) plans slated to open in less than two months, many MA plans are cutting benefits and provider payments, while approving fewer claims. Further, after a decade of accelerated growth in the MA market, several MA plan executives have announced MA market exits and decreases in membership for the upcoming plan year. This Health Capital Topics article discusses recently announced MA market exits, the reasons for those exits, and the current environment in which MA plans are operating. https://lnkd.in/g_ipBeNm For more updates in healthcare, be sure to subscribe to the HC Topics e-journal here: https://lnkd.in/g4VS2F7r and for more information about HCC, visit www.healthcapital.com #medicare #medicareadvantage #MA #healthcare #HCTopics

The 11/7 Healthcare Labyrinth Blog is live. Click below to read. Medicare Advantage clearly saves: MA's additional value is driving savings in the traditional program. #healthcare #healthcarereform #healthinsurance The Healthcare Labyrinth Marc S. Ryan ???? https://lnkd.in/eBGD-RYZ