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Aetna Medicare Retail Program

Posted by www.psmbrokerage.com Admin on Mon, Aug 12, 2019 @ 01:34 PM

Aetna Retail blog

 

Aetna has just released details on their 2020 retail program and you do not want to miss out on this exciting opportunity. Below are some highlights.

Why should I participate?

  • Access to high traffic retail locations that can drive leads and sales
  • Program requirements that are more relaxed than industry norms
  • Cost efficient bundles that are competitively priced
  • Agents have the opportunity for a $100 MMS credit

How much does it cost?

  • CVS location will cost $275
  • All other retail locations will cost $175

Request details today and one of our marketing representatives with send you all the details on how to participate.

 

Additional Updates:
 

Tags: Medicare Advantage, Medicare Part D, aetna, Retail Program

2020 AHIP and Carrier Certifications: Tips and Reminders

Posted by www.psmbrokerage.com Admin on Mon, Aug 12, 2019 @ 11:03 AM

2020 AHIP and Carrier Certifications: Tips and Reminders

Prepare. 2020 AHIP and Carrier Certifications take time and brain power. It's a good idea to set aside a sufficient amount of time and energy to thoroughly comprehend and complete the required training.

Pace yourself. Rushing though certifications can greatly hinder you from learning essential information. It can also decrease the likeliness of passing the course. Taking small breaks between sections is an effective way to pace yourself throughout the training.

Pay attention. There are oftentimes important updates within the certification training. It is imperative that agents grasp the information being shared. These certifications also serve as excellent refreshers. Take advantage of the materials provided and challenge yourself to learn the information rather than simply pass the tests. 

Don't procrastinate! These certifications are not only helpful to you as an agent, but most are required for agents to complete in order to sell the products. The longer you wait, the more opportunities you'll miss out on.

Remember! Do not write any new business until you receive the carrier's "Ready to Sell" notification.

For more information regarding AHIP's Medicare Course, and a discount for the AHIP certification,visit our AHIP Information page

Additional Updates:
 

Tags: Medicare Advantage, Medicare, Medicare Supplement, Medicare Part D

State of Medicare Advantage

Posted by www.psmbrokerage.com Admin on Tue, Aug 06, 2019 @ 01:09 PM

 

Every day 10,000 seniors age into Medicare.

According to the US Census Bureau, the number of Americans over age 65 is projected to double over the next four decades, growing from nearly 48 million seniors today to about 98 million by 2060.1

 

By 2030, the entire baby boom generation will be older than age 65, meaning one in five U.S. residents will be over 65. In 2035, just five years later, roughly 78 million Americans will be over age 65.2

Not only is the aging population growing but older adults are also living longer, and many are living with serious chronic conditions. 67% of Medicare beneficiaries have two or more chronic conditions. Nearly all health costs are driven by patients with chronic conditions, for whom the federal government is the dominant payer. Individuals with multiple chronic conditions account for 94% of Medicare spending.3

As health care costs continue to increase and consumer costs rise, there is an urgency to improve quality and manage costs. The future of Medicare is the move away from traditional fee-for-service (FFS) models, which reimburse care based on volume of services provided. Medicare Advantage instead rewards the value of health outcomes delivered, which is essential to achieve better outcomes and better costs. Medicare Advantage, the modern, private-public option, is the future of Medicare.3

Medicare Advantage is leading the innovative use of value-based care offering beneficiaries the choice of an integrated care plan, with a focus on patient-centered primary care, early intervention, and care coordination. It means greater simplicity, affordability, and enhanced benefits to improve health and well-being for the millions of individuals.

Today, one in three Medicare beneficiaries are enrolled in Medicare Advantage, benefiting from a higher quality of care at lower consumer costs.4


Source: https://www.bettermedicarealliance.org/about-medicare-advantage/state-medicare-advantage

Image: Canva

Additional Updates:
 

Tags: Medicare Advantage, Medicare, Medicare Supplement, Medicare Part D

Humana's Medicare Advantage Enrollment Soars

Posted by www.psmbrokerage.com Admin on Mon, Aug 05, 2019 @ 04:15 PM


 

Humana increased its full-year projections for Medicare Advantage growth to a “range of 480,000 to 500,00 members,” or 16% growth for 2019. That compares to a previous range of 415,000 to 440,000, the insurer reported.

Humana is the latest health insurer to tout solid profits thanks in part to seniors flocking to Medicare Advantage. Centene, WellCare Health Plans, UnitedHealth Group and Anthem have already reported record Medicare Advantage enrollment as well and Cigna will release its updated second-quarter figures on Thursday.

Medicare Advantage plans contract with the federal government to provide extra benefits and services to seniors, such as disease management and nurse help hotlines, with some even providing vision and dental care and wellness programs. And the federal government has changed rules to allow private health insurers to offer more supplemental benefits in Medicare Advantage plans they sell.

Source: https://www.forbes.com/sites/brucejapsen/2019/07/31/as-democrats-debate-humana-sees-record-medicare-advantage-growth/#229eed0e12eb

 
Additional Updates:
 

Tags: Humana, Medicare Advantage, Medicare

New Report Examines Medicare Advantage Supplemental Benefit Policies

Posted by www.psmbrokerage.com Admin on Mon, Aug 05, 2019 @ 03:32 PM

 

A new report from the AARP Public Policy Institute examines changes to Medicare Advantage (MA) supplemental benefit policies and the implications for people with Medicare.
 
MA plans have long been able to offer benefits beyond what is required by law. However, the Balanced Budget Act of 2018 and recent regulatory decisions, including those in the 2019 Part C and D final rule and the Final Call Letter for 2019, have greatly increased this authority.
 
Among the reforms with significant consequences for consumers are those that expand the array of benefits MA plans can offer and grant the insurers more latitude to design and target those packages.

Additional Updates:
 

Tags: Medicare Advantage, Medicare, Medicare Supplement, Medicare Part D

Medicare Plan Finder Being Updated

Posted by www.psmbrokerage.com Admin on Mon, Aug 05, 2019 @ 03:10 PM

 

Process is too complex for beneficiaries to use it effectively

The CMS is planning to launch updates to its Medicare Plan Finder this month after a report from a government watchdog flagged significant usability concerns with the tool. The GAO analyzed the experience of comparing plans on MPF and found 58% of beneficiaries described the process as “difficult” while just 13% of beneficiaries said it was easy. “These selections can be difficult due to the Medicare program’s complexity, and can have important implications for beneficiaries’ out-of-pocket costs and access to providers,” the GAO said. This can limit a beneficiary’s ability to compare their options in traditional Medicare fully with Medicare Advantage plans, according to the report. The tool also lacks information on provider networks offered in M/A plans, which can also confuse the selection process, since it requires a beneficiary to visit individual plan websites to find that information.

Additional Updates:
 

Tags: Medicare Advantage, Medicare, Medicare Supplement, Medicare Part D

Answers to Everything Medicare

Posted by www.psmbrokerage.com Admin on Mon, Aug 05, 2019 @ 02:14 PM

 

In its annual Data Book report, MedPac’s exhaustive 206-page report on All Things Medicare addresses pretty much anything and everything you ever wanted to know about Medicare. Such as: the Congressional Budget Office projects nearly half of all Medicare beneficiaries (47%) will be in a Medicare Advantage plan by 2029; Medicare paid M/A plans about $230 billion in 2018 to cover Part A and Part B services for M/A enrollees; the number of M/A plans from which beneficiaries may choose in 2019 is higher than at any time since 2012; in 2019, beneficiaries may choose from an average of 23 M/A plans operating in their county.

Medicare Advantage Enrollment: 2003-2019


In 2017, 88% of Beneficiaries Were Enrolled in Part D

 

In 2017, more than three-quarters of Medicare beneficiaries either signed up for Part D plans or had prescription drug coverage through employer-sponsored plans. Other enrollees in stand-alone PDPs accounted for 30% of all Medicare beneficiaries. Another 22% of beneficiaries were enrolled in MA–PDs and did not receive low-income subsidies.

Additional Updates:
 

Tags: Medicare Advantage, Medicare, Medicare Supplement, Medicare Part D

As Medicare population booms, MA plans eye growth opportunities

Posted by www.psmbrokerage.com Admin on Thu, Aug 01, 2019 @ 04:06 PM

As Medicare population booms, MA plans eye growth opportunities

 

Business is booming in Medicare Advantage, and many insurers say they have plans to grow M/A, says a new survey; 201 insurance executives who work with M/A plans found 92% were either growing or intended to grow their M/A business more quickly than traditional Medicare business lines. In 2019, 22 million people chose an M/A plan over traditional Medicare, which is about 34% of the total Medicare population. “It's a super competitive market, where you don’t have to hit that big of a critical mass number,” said Steve Krupa, CEO of HealthEdge. “If you have 10,000 to 20,000 members, you have a substantial revenue base.”

Source: https://www.fiercehealthcare.com/payer/survey-as-medicare-population-booms-ma-plans-eye-growth-opportunities

Image: Canva

Additional Updates:
 

Tags: Medicare Advantage

CMS Admin Endorses Medicare Advantage

Posted by www.psmbrokerage.com Admin on Thu, Jul 25, 2019 @ 03:58 PM

CMS Admin Endorses Medicare Advantage

 

CMS Administrator Seema Verma declared Medicare Advantage the most successful (function) of Medicare. “What works in the Medicare program is Medicare Advantage, because plans are competing on the basis of cost and quality, driving toward value and increasing choices for beneficiaries,” Verma told attendees at the Better Medicare Alliance 2019 Medicare Advantage Summit. “Many of you are driving success in Medicare Advantage, and I thank all of you for the important work that you do.” M/A added 600 new plans in recent years, which Verma attributed to the reduced regulations. Patients enrolling in M/A also benefit from premiums that decreased 6% since last year.

Medicare Advantage enrollment increased 10% since last year.

Source: https://healthpayerintelligence.com/news/verma-supports-medicare-advantage-decries-public-option

Image: Canva

Additional Updates:
 

Tags: Medicare Advantage

Bright Health To Expand Medicare Advantage To Six More States in 2020

Posted by www.psmbrokerage.com Admin on Thu, Jul 25, 2019 @ 03:16 PM

 

Bright Health is the latest health insurer to announce plans to sell private Medicare Advantage plans in several new markets, hoping seniors flock to such coverage following federal rule changes that allow plans to offer more benefits.

The startup insurer said it will add seven new markets in six states for 2020. They are: the Orlando and Daytona areas of Florida; Palm Beach, Fla.; Chicago, Illinois; Omaha, Neb.; the Cleveland and Akron area of Ohio; Greenville, South Carolina and Memphis Tennessee. Bright Health currently sells Medicare Advantage plans in six metropolitan markets: Birmingham, Ala; Phoenix, Arizona; Denver, Colo.; New York City: several Ohio cities including Cincinnati and Nashville, Tenn.

Bright Health’s expansion into new regions is the latest expansion for such plans, which contract with the federal government to provide extra benefits and services to seniors, such as disease management and nurse help hotlines with some also offering vision, dental care and wellness programs. And now insurers are rolling out more supplemental benefits in their Medicare Advantage plans following rule changes implemented.

In Bright Health’s case, the new Medicare offerings are part of a major expansion of all of its business lines that include individual coverage, “family plans,” Medicare Advantage and supplemental Medicare plans.

In all, Bright Health said it will begin selling its array of plans in 13 new markets across seven states beginning next year. “This market expansion brings Bright Health Plan’s footprint to a total of 22 markets in 12 states, building on its sizable growth last year when it added products in Arizona, New York, Ohio and Tennessee,” the company said in its announcement Wednesday.

The expansions are still subject to final regulatory approvals by state insurance departments, but executives say the expansion shows financial strength and confidence consumers and investors have in the company.

“In just four years, we’ve grown from serving consumers in our pilot market of Colorado to serving tens of thousands of members across six states,” Bright Health CEO Bob Sheehy said. “This substantial growth shows that consumers are hungry for a new healthcare model that is simple, personal and more affordable. We’ve been able to meet this demand because our Health Plan Care Partner Model allows us to scale quickly and effectively, and our significant expansion in 2020 is further validation of that.”

Source: https://www.forbes.com/sites/brucejapsen/2019/07/24/bright-health-to-expand-medicare-advantage-to-six-more-states-in-2020/#24f2596f2a82

Image: Canva

Additional Updates:
 

Tags: Medicare Advantage, Bright Health

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