INTRODUCTION Driven by the moral imperative to address health disparities and objectives to improve health outcomes, many healthcare organizations have committed to achieving health equity. However, to create sustainable change, organizations must prove the return on investment (ROI) to build…

The Centers for Medicare & Medicaid Services (CMS) recently released the Final Rate Announcement for Calendar Year (CY) 2025. The announcement finalized a payment increase of 3.7% over CY 2024, which (as we previously reported) represents no significant change from…

THE PRESSURE IS ON TO PROTECT EXISTING ENROLLMENT WHILE DEMONSTRATING BETTER VALUE FOR BENEFICIARIES IN MEDICARE ADVANTAGE PLANS. The Centers for Medicare & Medicaid Services (CMS) released the 2025 Advance Notice on January 31, 2024, prompting Medicare Advantage organizations (MAOs)…

February 29, 2024 (Chicago, IL)—Chartis, a comprehensive healthcare advisory firm, today announced Tej Shah and Dan Delaney will lead HealthScape Advisors, A Chartis Company. Chicago-based HealthScape Advisors (HealthScape) helps payers across all segments, including Commercial, Medicare, Medicaid, ACA, Federal, and…

Medicare Advantage Organizations (MAOs) face an inherent tension to grow despite financial constraints on margin. This pressure makes it difficult to invest in competitive benefit design elements that are known to drive growth, including supplemental benefits. Significant financial headwinds including…

February 6, 2024 (Chicago, IL) – Chartis, a leading healthcare advisory firm, today announced that it has acquired HealthScape Advisors, a leading healthcare payer consulting firm. Based in Chicago with 160 professionals, HealthScape helps payers across all segments, including commercial,…

Health plans are confronting significant pressure to their financial sustainability, including rising costs, new regulations, and increased competition. Rising medical costs remains an ongoing challenge, with medical expenses outpacing projections in 2023 driven by factors such as post-COVID demand, network…

CMS recently released its proposed rule for Medicare Advantage Organizations (MAOs) and Part D sponsors for contract year 2025. While the proposed rule outlines meaningful policy and technical changes to the Medicare program (e.g., behavioral health, health equity, agent/broker compensation, D-SNP…

The Centers for Medicare & Medicaid Services (CMS) recently released data that highlights the benefit designs of 2024 Medicare Advantage (MA) plans, inclusive of each MA product’s dental offering. To help our clients understand the results, HealthScape has quickly ingested…

Reprinted with AIS Health permission from the Oct. 19 issue of Radar on Medicare Advantage Leading up to the Oct. 15 start of the Medicare Annual Election Period (AEP), news reports across the U.S. have depicted down-to-the-wire disputes between Medicare…