Category: Medicare Advantage

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Leading and Managing Medicare Shared Savings Programs in a Time of Transition
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Leading and Managing Medicare Shared Savings Programs in a Time of Transition

For healthcare organizations and providers involved in a Medicare Shared Savings Program (MSSP), 2025 is truly a time of transition and a little uncertainty. When colleagues recently asked for my thoughts on MSSP this year, the old saying “May you live in interesting times” kept coming to mind.

How Can We Improve Health Literacy among Medicaid Populations?
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How Can We Improve Health Literacy among Medicaid Populations?

Inadequate health literacy affects nearly 36% of the adult U.S. population and is found in disproportionately higher rates among Medicaid-eligible populations, according to the Center for Health Care Strategies. In fact, one study estimates that more than 25% of uninsured, Medicare, and Medicaid populations may have low health literacy skills. This can negatively impact quality of life and health...

How Can You Deliver Value-Based Care that Engages Baby Boomers?
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How Can You Deliver Value-Based Care that Engages Baby Boomers?

This post is part of a five-part series highlighting top insights from our white paper, Personalized Value-Based Care: Effective Multi-Generational Care Management Strategies. It’s true that meeting the health needs of individuals across generations is partly about age-related clinical factors. But there’s more to consider. Addressing generation-specific attitudes, concerns, and preferences regarding healthcare, as well...

How to Improve Care for Medicare Advantage Members with Chronic Conditions
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How to Improve Care for Medicare Advantage Members with Chronic Conditions

This is the fourth article in a six-part series exploring ways to improve the delivery of whole-person, value-based care to Medicare and Medicare Advantage populations. In this post, we explore strategies to deliver whole-person care for Medicare members with chronic conditions, aiming to improve outcomes and quality of life. You can also download our white paper...

How Can Medicare Payers Better Support Home Health Care?
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How Can Medicare Payers Better Support Home Health Care?

This is the final article in a six-part series exploring ways to improve the delivery of whole-person, value-based care to Medicare and Medicare Advantage populations. In this post, we cover care management strategies to improve the experience for members who receive home health care services. You can also download our white paper Effectively Managing Medicare Populations:...

How to Better Address SDOH for Medicare Members
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How to Better Address SDOH for Medicare Members

This is the fifth article in a six-part series exploring ways to improve the delivery of whole-person, value-based care to Medicare and Medicare Advantage populations. In this post, we explain how to tackle challenges related to social determinants of health (SDOH) that can prevent members from experiencing optimal clinical outcomes. You can also download our white...

How Can You Deliver Value-Based Care that Engages Seniors?
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How Can You Deliver Value-Based Care that Engages Seniors?

This post is the first in a five-part series highlighting top insights from our white paper, Personalized Value-Based Care: Effective Multi-Generational Care Management Strategies.   Addressing generation-specific attitudes, concerns, and preferences regarding healthcare, as well as non-clinical factors that impact health like social determinants of health (SDOH), is integral to member engagement and better outcomes. In this...

Improve Medicare Advantage Member Engagement with HELIOS
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Improve Medicare Advantage Member Engagement with HELIOS

Member engagement is about more than higher Medicare Star Ratings and keeping member bases loyal. A highly engaged health plan member is one who is actively involved in their health and wellness, and one who is more likely to adhere to care plan instructions, treatment, and medication regimens, and prioritize improving their overall state of health and well-being. Today, Medicare beneficiaries...

Developing the Future of Care
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Developing the Future of Care

Q&A with CEO and Founder Adam Sabloff and Vice President of Product Management Marcus Caraballo.  The healthcare industry is evolving. As more and more organizations seek to implement a value-based care approach, many are realizing the importance of data interoperability, whole-person health, and the need to address and solve for social determinants of health (SDOH)....

How to Improve Care for Members with Medicare Who Need Long-term Services and Supports (LTSS)
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How to Improve Care for Members with Medicare Who Need Long-term Services and Supports (LTSS)

This is the first article in a six-part series exploring ways to improve the delivery of whole-person, value-based care to Medicare and Medicare Advantage populations. Here, we dive into our first area of focus: ensuring optimal care for members who need long-term services and supports (LTSS), for which Medicare does not provide comprehensive coverage. You...

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