How home care supports an individual’s health, outcomes

By Mia Haney We’ve heard the saying “home is where the heart is,” and that certainly resonates when it comes to receiving healthcare. Our homes offer a sense of purpose, security and comfort. This feeling of safety and security allows individuals to express their healthcare needs with openness, which gives caregivers the ability to provide… Continue Reading How home care supports an individual’s health, outcomes
6 ways health plans are investing in SDOH strategies within the growing Medicare Advantage market

By Robert Pittman Medicare Advantage is taking precedence in health plan markets with no intention of slowing down. Today, 48% of Medicare beneficiaries are enrolled in Medicare Advantage (MA) health plans (the enrollment more than doubled in the last 15 years from just 19%), according to the Kaiser Family Foundation. Now more than ever, as… Continue Reading 6 ways health plans are investing in SDOH strategies within the growing Medicare Advantage market
Proposed rule may reduce Medicaid beneficiary churn, simplify enrollment process

By Robert Pittman A game-changing proposal for Medicaid beneficiaries is on the horizon – interrupting what’s been a stagnant period for the development and improvement of the program’s enrollment process. While those of us with commercial healthcare insurance provided by a company sign up only once a year, Medicaid beneficiaries often must recertify or reenroll… Continue Reading Proposed rule may reduce Medicaid beneficiary churn, simplify enrollment process
Warp and weft: How weaving fabric can teach companies about successful DEI programs

By Nate Vaughn When weaving fabric, there’s warp and weft. The warp runs vertically or longitudinally, while the weft runs horizontally or transverse through the warp. Throughout the weaving process, the warp is frequently under extreme tension, while the weft receives little in the way of stress or strain. In addition, and important to know, fabric… Continue Reading Warp and weft: How weaving fabric can teach companies about successful DEI programs
How improving social interaction can help address the loneliness epidemic

By Mia Haney When COVID-19 emerged in 2020, people worldwide were urged to stay home, practice social distancing and avoid large crowds. Social events were canceled, establishments were shut down and “six feet apart” became the new normal to fight the spread of COVID-19. While these actions were considered necessary for the health and safety… Continue Reading How improving social interaction can help address the loneliness epidemic
How will health-related social needs impact MA plan supplemental benefits in 2024?

By Robert Pittman With the Medicare Advantage (MA) member enrollment period fast approaching for the 2023 plan year, health plans have already begun to take stock of supplemental benefits they may offer in 2024. Between a growing number of attractive supplemental and zero-dollar plans, the MA market continues to evolve and relegate plans with lower Star… Continue Reading How will health-related social needs impact MA plan supplemental benefits in 2024?
Why better healthcare data security can improve your company’s relationship with members

By Walt Meffert An online search of “data security” in the news returns more than 710 million articles. The first seven pages of results are articles about data breaches of private information. Personal. Financial. Health. In 1978, decades before you could search for “data security” news online and the internet became what we know it… Continue Reading Why better healthcare data security can improve your company’s relationship with members
Advancing meaningful engagement through remote patient monitoring

By Jessica Hylander A patient’s active involvement in their healthcare, also known as patient engagement, can result in better outcomes, improved care and lower costs. Motivated by this trifecta of results, plans, payers and providers have launched a variety of engagement strategies with varying amounts of success. From gamification to incentives to wearables, the healthcare… Continue Reading Advancing meaningful engagement through remote patient monitoring
Modivcare SIU: Disrupting healthcare fraud, waste and abuse

By Jody Kepler Fraud, waste and abuse (FWA) in healthcare is, unfortunately, an everyday occurrence. Bad actors cost our healthcare system billions of dollars every year according to the U.S. Department of Justice. The U.S. Government Accountability Office defines fraud, waste and abuse as: Fraud is attempting to obtain something of value through willful misrepresentation Waste is squandering money… Continue Reading Modivcare SIU: Disrupting healthcare fraud, waste and abuse
Personal care in the healthcare continuum can help improve participant wellbeing

By Mia Haney Navigating the healthcare landscape in 2022 has become increasingly difficult. Healthcare no longer begins and ends in an ambulatory care facility or at a hospital. The healthcare continuum extends outside into the “real world.” All around us, non-clinical factors affect our health outcomes, and medical staff aren’t the only people who can… Continue Reading Personal care in the healthcare continuum can help improve participant wellbeing