We are delighted to announce that HealthScape Advisors has joined Chartis, one of the nation's leading healthcare advisory firms.  Read the press release.

Executive Briefing | March 25, 2024

Advance Payment Notice Continues to Shift Plans from Growth to Performance

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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)…

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Executive Briefing | January 9, 2024

Four Pressures Shaping Health Plans in 2024

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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…

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Executive Briefing | November 27, 2023

Medicare Advantage Dental Benefit Compare Tool 2024 Insights

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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…

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Article | October 24, 2023

Provider-Sponsored MA Plans Evolve as 2024 Collabs Take More ‘Thoughtful’ Tack

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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…

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Executive Brief | November 2, 2023

2024 Star Rating Analysis: The Story Lies Beyond the Outliers

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Introduction The recent publication of 2024 Medicare Advantage (MA) Star ratings confirmed that the regulatory and operating environment for this program will challenge health plans (especially compared to past years) as the Centers for Medicare and Medicaid Services (CMS) shifts…

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Executive Briefing | July 26, 2023

2024 AEP: The Most Competitive Marketing Season Ever

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As Medicare Advantage Organizations (MAOs) get ready for the upcoming Annual Enrollment Period (AEP), they should proactively prepare for one of the most competitive marketing seasons to date. The cumulative impact from changes in payment rates; regulatory pressure on Third…

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Executive Briefing | March 14, 2023

HealthScape Advisors’ Insights on 2023 AEP Performance

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This brief builds upon last year’s analysis of Medicare’s Annual Enrollment Period (AEP) and highlights results from the most recent enrollment data available1 from the Centers for Medicare and Medicaid Services (CMS) that accounts for 2023 AEP. Where helpful, we’ll compare…

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Q&A Series | Health Plan Outlook for 2023: Market Trends Become Mainstream

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There is no shortage of challenges and opportunities for health plans in their strategic planning efforts. Earlier this year, we released our Executive Brief, Health Plan Outlook for 2023: Market Trends Become Mainstream to summarize our thoughts on the five…

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Executive Briefing | February 14, 2023

Supplemental Benefit Trends 2023

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Studies have previously suggested that MA members are “sticky” and rarely change coverage; however, this behavior may be changing given the proliferation of product options and availability of rich benefits. For example, at the recent JP Morgan Healthcare Conference, Humana…

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Executive Briefing | February 2, 2023

Health Plan Outlook for 2023: Market Trends Become Mainstream

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In the past few years, the COVID-19 pandemic has dominated our attention, disrupting traditional healthcare delivery and access. During this time, member access to care was largely focused on adapting and responding to the pandemic. Now that the industry has largely reached stabilization…

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