MAPD

Milliman Retiree Health Cost Index: A healthy 65-year-old will spend on average between $137,000 and $300,000 on healthcare costs in retirement

Retrieved on: 
Thursday, September 22, 2022
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The report also looks at cost variations across sex, geography, and the two most common coverage options for Medicare-eligible retirees.

Key Points: 
  • The report also looks at cost variations across sex, geography, and the two most common coverage options for Medicare-eligible retirees.
  • In 2022, we project a healthy 65-year-old man with a Medicare Advantage plus Part D (MAPD) plan will spend $137,000 in healthcare expenses in his remaining lifetime.
  • The same retiree covered by Original Medicare with Medigap (Plan G) and Part D (standard benefit) is projected to spend $264,000 on healthcare expenses in his remaining lifetime.
  • Higher healthcare costs for women are largely the result of longer life expectancy when compared to men.

MyMedicareBot's Field Agent Telephonic Enrollment Platform Expands its Network of National Medicare Advantage and PDP Carriers

Retrieved on: 
Thursday, May 26, 2022
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SANTA ANA, Calif., May 26, 2022 /PRNewswire/ -- MyMedicareBot is proud to announce the carrier network expansion of its Telephonic Enrollment solution for field agents.

Key Points: 
  • SANTA ANA, Calif., May 26, 2022 /PRNewswire/ -- MyMedicareBot is proud to announce the carrier network expansion of its Telephonic Enrollment solution for field agents.
  • This tool is integrated into the MyMedicareBot Field Agent Platform, which provides lead delivery, multi-carrier quoting, and enrollment for field agents.
  • "We launched this solution to level the playing field and provide Medicare field agents with similar capabilities that were previously available only to telesales agents.
  • MyMedicareBot's Field Agent Portal with Telephonic Enrollment is a web-based tool that provides field agents with an integrated CRM, lead generation, electronic Scope of Appointment, plan quoting, and telephonic enrollment capabilities.

Navitus Health Solutions Earns Sixth Pharmacy Quality Alliance Award for High Achievement in Medication Quality Measures

Retrieved on: 
Tuesday, May 17, 2022
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For the sixth year in a row, Navitus Health Solutions , a full pass-through pharmacy benefit manager (PBM), has received the Pharmacy Quality Alliance (PQA) Laura Cranston Excellence in Quality Award for its prescription drug plan (PDP), Navitus MedicareRx.

Key Points: 
  • For the sixth year in a row, Navitus Health Solutions , a full pass-through pharmacy benefit manager (PBM), has received the Pharmacy Quality Alliance (PQA) Laura Cranston Excellence in Quality Award for its prescription drug plan (PDP), Navitus MedicareRx.
  • Navitus is one of only twelve healthcare organizations nationwide to receive PQAs Excellence in Quality Award for PDPs this year.
  • Navitus Health Solutions, owned by SSM Health and Costco Wholesale Corporation, is a disruptive industry alternative to traditional pharmacy benefit manager (PBM) models.
  • Follow Navitus on Twitter and LinkedIn to stay up-to-date on all the latest pharmacy benefit news, information and expert analysis.

eternalHealth Teams with COPE Health Solutions to Launch New Medicare Advantage Plan in Massachusetts

Retrieved on: 
Tuesday, January 11, 2022
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NEW YORK, Jan. 11, 2022 /PRNewswire/ -- COPE Health Solutions partnered with eternalHealth to create the first licensed start-up health plan in Massachusetts since 2013.

Key Points: 
  • NEW YORK, Jan. 11, 2022 /PRNewswire/ -- COPE Health Solutions partnered with eternalHealth to create the first licensed start-up health plan in Massachusetts since 2013.
  • eternalHealth is now live and accepting members for its new Medicare Advantage Prescription Drug plan in Massachusetts.
  • A national leader in consulting, solutions and services for health plans, risk-bearing organizations and providers, COPE Health Solutions leveraged its deep experience and expertise in Medicare Advantage, medical management, analytics, financial modeling, network analytics and network development, and contracting to collaborate with eternalHealth to develop the MAPD plan.
  • Founded by Pooja Ika, eternalHealth is a Medicare Advantage plan that provides high-quality care with low out-of-pocket costs to the residents of Massachusetts.

Leon Health, Inc. Selects HEALTHsuite Advantage™ from RAM Technologies, Inc. to Launch Medicare Advantage Health Plan

Retrieved on: 
Tuesday, November 16, 2021
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FORT WASHPINGTON, Pa., Nov. 16, 2021 /PRNewswire-PRWeb/ -- RAM Technologies, Inc., the perennial leader in enterprise software solutions and services for Medicare Advantage and Managed Medicaid health plans, is pleased to announce that Leon Health, Inc. has selected HEALTHsuite Advantage to administer their new Medicare Advantage business in south Florida.

Key Points: 
  • FORT WASHPINGTON, Pa., Nov. 16, 2021 /PRNewswire-PRWeb/ -- RAM Technologies, Inc., the perennial leader in enterprise software solutions and services for Medicare Advantage and Managed Medicaid health plans, is pleased to announce that Leon Health, Inc. has selected HEALTHsuite Advantage to administer their new Medicare Advantage business in south Florida.
  • The RAM solution suite will provide Leon Health, Inc. with an end-to-end solution to manage their Medicare Advantage offerings while providing complete integration with CMS.
  • Leon Health, inc. is a new Medicare Advantage health plan based in Hialeah, Florida.
  • RAM's core administrative solution, HEALTHsuite Advantage, represents the next evolution in Medicare Advantage administration.

More than 3 out of 4 Aetna Medicare Advantage members in 4.5 Star-rated plans or higher for 2022 -- the highest percentage among national health insurers [1]

Retrieved on: 
Tuesday, October 26, 2021
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"This year's Star Ratings demonstrate our commitment to bringing increased quality and value to our members," said Christopher Ciano, president of Aetna Medicare.

Key Points: 
  • "This year's Star Ratings demonstrate our commitment to bringing increased quality and value to our members," said Christopher Ciano, president of Aetna Medicare.
  • Visit AetnaMedicare.com to learn more about the 2022 Aetna Medicare plans.
  • Aetna's customers include employer groups, individuals, college students, part-time and hourly workers, health plans, health care providers, governmental units, government-sponsored plans, labor groups and expatriates.
  • SilverScript is a Prescription Drug Plan with a Medicare contract marketed through Aetna Medicare.

Commonwealth Care Alliance® Senior Care Options Plan Achieves 5 Star Rating from the Centers for Medicare and Medicaid Services

Retrieved on: 
Wednesday, October 13, 2021
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Commonwealth Care Alliance (CCA), an integrated care system serving nearly 42,000 individuals that has earned national recognition for its proven expertise in complex care coordination and delivery, today announced the CCA Senior Care Options (SCO) plan has been awarded 5 stars the highest rating in the Centers for Medicare and Medicaid Services (CMS) annual Star Quality Ratings for 2022.

Key Points: 
  • Commonwealth Care Alliance (CCA), an integrated care system serving nearly 42,000 individuals that has earned national recognition for its proven expertise in complex care coordination and delivery, today announced the CCA Senior Care Options (SCO) plan has been awarded 5 stars the highest rating in the Centers for Medicare and Medicaid Services (CMS) annual Star Quality Ratings for 2022.
  • CCA Senior Care Options (SCO) is an HMO Special Needs plan for individuals aged 65 and older who are eligible for Medicaid.
  • CCA SCO, one of the fastest growing plans of its kind, serves 12,800 members as of August 1, 2021.
  • In addition to CCA SCO, Commonwealth Care Alliance currently offers CCA One Care, a Massachusetts demonstration Medicare-Medicaid Plan (MMP) for individuals between 21 and 64 who are dually eligible for Medicare and Medicaid.

Optimum HealthCare Medicare Advantage Plans Achieve 5-Star Ratings

Retrieved on: 
Wednesday, October 13, 2021
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Optimum HealthCare announced today that the Centers for Medicare & Medicaid Services awarded the companys 2022 Medicare Advantage plans a 5-Star rating, with five stars being the best rating.

Key Points: 
  • Optimum HealthCare announced today that the Centers for Medicare & Medicaid Services awarded the companys 2022 Medicare Advantage plans a 5-Star rating, with five stars being the best rating.
  • Medicare Star Ratings are issued by the Centers for Medicare & Medicaid Services (CMS), and rate health plans on a scale of 1-5 Stars (5 Stars = Excellent).
  • The following Medicare Advantage plans are rated 5 stars for 2022:
    The CMS Medicare Star Rating system rates the quality and performance of Medicare Advantage plans to help consumers and their families compare plans.
  • Headquartered in Tampa, FL, Freedom Health, Inc. and Optimum Healthcare Inc. provide comprehensive health care coverage through their Medicare Advantage Plans in the state of Florida.