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Guides/Reports
Public

The Growing Impact of Medicare Advantage on Rural Hospitals Across America

Rural hospitals play a vital role in the health and economic stability of their communities, serving as lifelines for care and major local employers.
Guides/Reports
Member

CY2024 Medicare Advantage Final Rule Implementation Handbook

On April 5, the Centers for Medicare & Medicaid Services (CMS) finalized its Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Program for contract year (CY) 2024. The final rule increases oversight of Medicare Advantage (MA) plans and seeks to better align MA coverage with Traditional Medicare.
Frequently Asked Questions (FAQs)
Public

CMS FAQs on 2024 Medicare Advantage Rule

In this memo, the CMS provides clarification about how MA plans should comply with the 2024 Medicare Advantage rule.
AHA Center for Health Innovation Market Scan

Humana to Double Down on Value-Based Primary Care Clinics Targeting Medicare Patients

Humana recently said it plans to open about 100 new primary care clinics in a second joint venture with the private equity firm Welsh, Carson, Anderson & Stowe (WCAS).
AHA Center for Health Innovation Market Scan

What’s Behind Humana’s Expanding Investments in Senior-Focused Clinics?

If you continue building, will they still come? In a nutshell, that’s what some analysts wanted Humana Inc. President and CEO Bruce Broussard to answer on a recent earnings call regarding his company’s $600 million joint venture with private equity firm Welsh, Carson, Anderson & Stowe to help finance building 50 more Humana Partners in Primary Care clinics over the next three years.
AHA Center for Health Innovation Market Scan

UnitedHealth Makes Big Move to Help Seniors Navigate MA

As competition increases among payers to sign up and retain seniors in Medicare Advantage plans, UnitedHealth has added 800 nurses and customer-service advocates to its concierge-services team to help seniors with complex conditions navigate their care. The move greatly expands UnitedHealth’s Navigate4me program, which launched in 2017.