CMS (Centers for Medicare and Medicaid Services) has certain rules and regulations in place for beneficiary protection. Sometimes, CMS has to issue sanctions against health plans. While sanctions don’t necessarily indicate that a plan is bad, it can indicate that they broke a rule. One of the major CMS “rules” for health plans is that […]
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2020 Medicare Advantage costs are going down while star ratings are going up. Learn about this positive change and how you can use it to your advantage.
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In the past, Dual-Eligible Special Needs (DSNP) clients, other people who receive Medicaid assistance (QMB-only, SLMB-only, etc.), and LIS clients could make changes to their plans every single month of the year that would become effective in the following month. In 2019 and moving forward, those clients have new SEP rules. Basically, AEP rules now […]
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Based solely on impressions (the number of times it showed up in a Google search), the most popular content on our consumer site, MedicarePlanFinder.com, is about: Medicare fitness programs Medicare transportation solutions Using Medicare to fight obesity Orthotics Medicare coverage Medicare + rehab for stroke recovery Why is this important? This data tells us that […]
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On Tuesday, September 17, it was announced that the Tennessee State Alliance of YMCAs would not be participating in the SilverSneakers network in 2020 (effective Jan 1). While your clients with SilverSneakers won’t be losing their program access, many (especially in rural areas) will lose a large part of their network. Major gyms (Gold’s Gym, […]
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BREAKING: 2020 CMS Guidelines for Marketing Medicare Plans As you know, marketing is crucial to your success. It’s not only how you generate fresh leads, but also how you hang on to your existing clients. Every year, CMS releases updated Medicare marketing & communications guidelines to help you stay compliant. The 2020 changes memo is […]
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What does MACRA mean for Medicare sales? The 2020 deadline is nearing. Find out what MACRA means for your sales before it’s too late.
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Transportation has been a popular topic in the healthcare industry. Medicare Advantage plans are offering new transportation benefits and CMS has plans to experiment with a new payment model for Medicare transportation. Current Payment Model Currently, Medicare only covers emergency ambulance transportation to a hospital or skilled nursing facility if transporting in a different vehicle […]
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There are over 10,000 baby boomers turning 65 every single day, and it’s apparent the Medicare market will continue to see tremendous growth. If you want to capitalize on this growth and make more sales, you need to understand the 2019 trends for seniors and Medicare eligibles. Technology and Digital Advancements The advancements in technology have sparked exciting […]
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There are more beneficiaries enrolled in a Medicare Advantage plan than ever before. It’s no surprise that this increase in enrollees has pushed providers to offer plans with a competitive edge. CMS has plans to help providers do just that, and has proposed an expansion in plan options to increase competitiveness in this lucrative market. […]
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