Addressing Pediatric Medicaid utilization in high-need states

In the United States, Medicaid plays a crucial role in providing healthcare to children, particularly in states with high levels of participation, such as Texas. Understanding the prevalent conditions treated under Medicaid and how our services can support these populations is essential for improving health outcomes. High Medicaid utilization states States like Texas, Florida, and… Continue Reading Addressing Pediatric Medicaid utilization in high-need states
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
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?
Star Ratings, SDoH, supplemental services: A Q&A with Robert Pittman, SVP of Government Affairs

In 2022, many Medicare Advantage (MA) plans added several supplemental services to their offerings, including meals, non-emergency medical transportation and personal care. This year, 68% offer meals, 39% transportation and 11% in-home supportive care. These numbers are across-the-board increases in each area compared to 2021. Medicare Advantage plan enrollment continues to increase, as well. In 2021,… Continue Reading Star Ratings, SDoH, supplemental services: A Q&A with Robert Pittman, SVP of Government Affairs
What impact does patient flow have on hospitals and healthcare providers?

Patient flow is often viewed as a problem that only affects hospitals and other healthcare facilities, as discharge delays lead to logjams in waiting rooms. It’s true that patient flow is a major concern for hospital administrators looking to keep their staffing and facility costs down, but patient flow has far-reaching effects beyond the hospital… Continue Reading What impact does patient flow have on hospitals and healthcare providers?
How NEMT technology can differentiate your program

More people are flocking to Medicare Advantage plans, creating tremendous opportunity for managed care organizations (MCO). With increased public demand, however, comes more competition in this health care segment. On average, Medicare beneficiaries have 24 Medicare Advantage programs to choose from. The only way to distinguish yourself from the glut of Medicare Advantage plans is… Continue Reading How NEMT technology can differentiate your program