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Ep. 79 - Medicare Advantage payers tell CMS they need more money

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Manage episode 403612885 series 3502474
Kandungan disediakan oleh Fulcrum Strategies, LLC, Fulcrum Strategies, and LLC. Semua kandungan podcast termasuk episod, grafik dan perihalan podcast dimuat naik dan disediakan terus oleh Fulcrum Strategies, LLC, Fulcrum Strategies, and LLC atau rakan kongsi platform podcast mereka. Jika anda percaya seseorang menggunakan karya berhak cipta anda tanpa kebenaran anda, anda boleh mengikuti proses yang digariskan di sini https://ms.player.fm/legal.
Medicare Advantage continues to be one of the most profitable sectors of the health insurance industry, yet a lobby group backed by the nation's largest payers has claimed the federal government isn't paying them enough. Fulcrum Strategies President and CEO Ron Howirgon and Matthew Handley discuss this. Plus, Elevance-owned Anthem BlueCross BlueShield in New Hampshire has royally screwed up their mail-order pharmacy benefits for NH's retired employees. Matthew and Ron also discuss why UnitedHealthcare and UNC Health are possibly going to go non-par on April 1. Subscribe wherever you get your podcasts or at www.FLATLINING.net.Follow Matthew on X: @radioHandley --- Articles mentioned in this program: Payers urge 'stability' from CMS on Medicare Advantage - Becker's Payer IssuesAnthem under fire for 'massively screwed-up' Medicare Advantage contract implementation - Becker's Payer Issues UnitedHealthcare, UNC Health near split date - Becker's Payer Issues
  continue reading

117 episod

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Manage episode 403612885 series 3502474
Kandungan disediakan oleh Fulcrum Strategies, LLC, Fulcrum Strategies, and LLC. Semua kandungan podcast termasuk episod, grafik dan perihalan podcast dimuat naik dan disediakan terus oleh Fulcrum Strategies, LLC, Fulcrum Strategies, and LLC atau rakan kongsi platform podcast mereka. Jika anda percaya seseorang menggunakan karya berhak cipta anda tanpa kebenaran anda, anda boleh mengikuti proses yang digariskan di sini https://ms.player.fm/legal.
Medicare Advantage continues to be one of the most profitable sectors of the health insurance industry, yet a lobby group backed by the nation's largest payers has claimed the federal government isn't paying them enough. Fulcrum Strategies President and CEO Ron Howirgon and Matthew Handley discuss this. Plus, Elevance-owned Anthem BlueCross BlueShield in New Hampshire has royally screwed up their mail-order pharmacy benefits for NH's retired employees. Matthew and Ron also discuss why UnitedHealthcare and UNC Health are possibly going to go non-par on April 1. Subscribe wherever you get your podcasts or at www.FLATLINING.net.Follow Matthew on X: @radioHandley --- Articles mentioned in this program: Payers urge 'stability' from CMS on Medicare Advantage - Becker's Payer IssuesAnthem under fire for 'massively screwed-up' Medicare Advantage contract implementation - Becker's Payer Issues UnitedHealthcare, UNC Health near split date - Becker's Payer Issues
  continue reading

117 episod

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