Tag: medicare advantage

Health insurance companies can’t use AI for Medicare

Logan B.
Health insurance - Medicare and AI

Newly released federal guidelines say that artificial intelligence can’t make all the choices. The Centers for Medicare and Medicaid Services (CMS) have released new guidance for health insurance companies to protect Medicare Advantage (MA) against bias from artificial intelligence (AI). The CMS is the federal agency overseeing Medicaid, Medicare and other programs CMS oversees the Children’s Health Insurance Program (CHIP), the Health Insurance Marketplace, Medicare and Medicaid. It recently issued a policy memo to insurers in which it banned them from using algorithmic systems or AI exclusively to decide on…

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Mercy Health and Anthem strike health insurance deal

Logan B.
Health insurance - Deal - Handshake

The companies have come to an agreement that will keep the care provider in the insurer’s network. Mercy Health has announced that it will remain in Anthem’s health insurance network now that the companies have arrived at a deal. This means that the insurer’s members will be able to seek care through that healthcare system. The Catholic healthcare system in Ohio and Kentucky will be available to Anthem health insurance members on the Medicaid, Medicare Advantage and employer-based coverage plans. According to the new agreement, this will extend through to…

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Medicare Advantage health insurance plans don’t have many mental wellness services

Logan B.
Health insurance - Person seeing psychiatrist

A new study shows plan holders are struggling to find psychiatrists within their networks. New research findings are showing that people who are covered by private sector Medicare Advantage health insurance plans are struggling to find psychiatrists and other mental wellness services within their networks. As a result, people with private Medicare coverage might not be getting the care they require. Over half the counties studied by the researchers did not have a psychiatrist within a Medicare Advantage health insurance plan. That plan is the counterpart in the private sector…

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New States Add Medicare Supplement Birthday Rules

Jesse Slome
medicare birthday rules

Insurance agents competing to sell Medicare Supplement insurance in five states can now capitalize on rules benefiting Medicare beneficiaries.  According to the American Association for Medicare Supplement Insurance (AAMSI), the five states include California, Illinois, Oregon, Nevada and Idaho. “Medicare insurance agents now face a daunting task of competing with the millions of dollars being spent on television ads featuring celebrity spokespeople,” explains Jesse Slome, director of the American Association for Medicare Supplement Insurance.  “Survival of the independent Medicare insurance agent will depend on the ability to take advantage of…

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Mind the Gap: Things to Know Before Picking the Best Medicare Supplement Plan

Guest Author
Medicare

Whether you have just turned 65, are about to turn 65, or are looking after a loved one who already has, keeping abreast of Medicare policy changes and picking the best Medicare supplement plan can seem like a daunting task. While the basic Medicare supplement plans (Plans A – N) are standardized at the federal government level, there are still many variations and nuances that occur at the state level. For example, some states may charge different rates for males than they do for females; some states won’t ask questions…

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