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Medicare Advantage | Payers | News, Analysis, Insights

AMA, UnitedHealthcare Develop ICD-10 Codes to Support Social Determinants of Health

by Fred Pennic 04/03/2019 Leave a Comment

Social determinants of health

UnitedHealthcare and the American Medical Association (AMA)  are teaming up to support using data for social determinants of health (SDOH) to improve and simplify how referrals are made to social services. The collaboration builds off work initiated by UnitedHealthcare to standardize how data is collected, processed and integrated regarding critical social and environmental factors that contribute to patient well-being. New ICD-10 related to Social Determinants of Health (SDOH) Today, nearly 80%
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GlobalHealth to Launch Medicare Advantage (MA) Marketplace with Evolent Health

by Jasmine Pennic 03/28/2019 Leave a Comment

GlobalHealth to Launch Medicare Advantage (MA) Marketplace with Evolent Health

GlobalHealth, an Oklahoma-based health maintenance organization, today announced it has entered into a definitive agreement to create a partnership in the Medicare Advantage (MA) plan marketplace with Evolent Health, a company providing an integrated value-based care platform to the nation's leading providers and payers. Together, both companies will launch and scale MA health plans under the True Health brand in targeted geographies. True Health Medicare Advantage (MA) Marketplace DetailsThe
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Stanford Health Taps Lumeris to Optimize Medicare Advantage Plan

by Jasmine Pennic 03/19/2019 Leave a Comment

Lumeris, Stanford Health Partner to Optimize Medicare Advantage Plan

Stanford Medicare Advantage plan seeks sustainable value-based care growth and continued innovations to serve seniors in collaboration with Lumeris.Lumeris, a provider of value-based care, and Stanford Health Care are partnering on a long-term collaboration for the further development of Stanford Health Care Advantage, a Medicare Advantage (MA) plan in Northern California. Once finalized, Lumeris will help optimize and grow the MA plan throughout the region and support Stanford Health Care's
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HIMSS19 Day 2 Announcements & Summary

by Fred Pennic 02/12/2019 Leave a Comment

4 Trends We Expect to See at HIMSS 2019

 Accenture: Millenials & Gen Z Are Shifting to Virtual, Retail, Clinic, Digital CareMillennial and Gen Z consumers in the U.S. are rapidly adopting non-traditional care models, such as retail clinics, virtual and digital services, according to results of an Accenture survey of 2,000 consumers.Key findings of the survey study include:- When considering traditional in-person care, millennials (ages 22 to 38 in 2019) were two to three times more likely than baby boomers (ages 55 to 73) to be
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Change Healthcare Unveils AI Solution for Medicare Advantage Dual Eligibility and Enrollment

by Jasmine Pennic 08/06/2018 Leave a Comment

Change Healthcare Unveils AI Solution for Medicare Advantage Dual Eligibility and Enrollment

Change Healthcare's new solution uses artificial intelligence and behavioral science to help Medicare Advantage plans precisely identify and increase chances for enrollment of dual-eligible membersChange Healthcare, today unveiled Dual Enrollment Advocate, the first solution to blend artificial intelligence and behavioral science to help solve the challenge of Medicare Advantage (MA) dual-eligibility identification and enrollment. This new technology helps health plans more accurately identify,
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