The Centers for Medicare and Medicaid Services has an effective medicare compliance program that decreases the risk of economic losses, reputational damage, and even criminal acts. This promotes a culture of prevention, detection, and resolution throughout the industry. Understanding Medicare compliance is key to maintaining a clean record and making more sales. Privacy and Security […]
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AEP is likely your busiest sales season, but if you’re not taking advantage of the other 311 days of the year, you’re missing out! Selling Medicare Supplement plans and utilizing SEP are two easy ways to make the most of the entire year and earn more commissions along the way. Selling Medicare Supplements Did you […]
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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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According to the American Diabetes Association, half of Americans over the age of 60 have diabetes. Insulin prices have continued to rise, and many Medicare beneficiaries struggle to pay for their out-of-pocket costs. It’s important to understand the price increases so you can inform beneficiaries of the benefits of Part D and ultimately make a […]
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Recently, several new deals have developed in the healthcare industry. In 2018, the Aetna and CVS deal, and the Cigna and Express Scripts deal were finalized. This trend has continued into 2019. On January 15, Walgreens and Microsoft announced a seven-year partnership. Future Plans Walgreens and Microsoft have joined forces in an attempt to change […]
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2019 Medicare Donut Hole: Everything You Need to Know According to the Henry J Kaiser Family Foundation, 43 million Medicare beneficiaries are enrolled in a Part D plan. This accounts for 72% of Medicare beneficiaries nationwide! When Medicare Part D started in 2006, beneficiaries were required to pay 100% of the costs for brand name […]
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What is the Cigna and Express Scripts deal? Cigna and Express Scripts announced their 54 billion dollar merger in March of 2018. Cigna provides coverage to 95 million beneficiaries around the world and Express Scripts helps fill 1.4 billion prescriptions annually. The goal of this merger is to create both affordable and personalized healthcare for […]
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Changes to CMS Hospital Ratings When making medical related decisions, it’s common to do your research. These decisions directly impact your health and well-being. Many patients are interested in comparing statistics when choosing doctors or hospitals. CMS hospital ratings and the Hospital Compare website are two tools that are available to consumers. What are the […]
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