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Medicare Offerings |
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Biden admin lays out Medicare drug negotiation process Axios The Biden administration on Wednesday began fleshing out how it will implement drug-pricing provisions in the Inflation Reduction Act, including a multi-step negotiation process for selected Medicare drugs starting next year.
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CMS announces 27 Part B drugs for which coinsurances may be lower starting April 1 Healthcare Finance News The Centers for Medicare and Medicaid Services has announced 27 prescription drugs for which Part B beneficiary coinsurances may be lower starting April 1 through June 30. Lower Part B coinsurance will go into effect on April 1 and will be reviewed quarterly. This coinsurance adjustment applies to certain drugs and biologicals covered under Medicare Part B and may change quarterly.
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Drexi is a non-traditional pharmacy benefits manager that helps save money at the pharmacy with fair, transparent pricing. Drexi ensures your clients, and their members know exactly what they are paying with no mark-ups and no hidden fees. If you are interested in a free 30-day trial and want to learn more, contact Anthony Masotto, EVP, Pharmacy at amasotto@amps.com or visit www.drexi.com.
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.NABIP NEWS
Why Do Clients Leave? Exploring the Main Reasons for Client Churn & How to Avoid Them
Your agency has worked hard throughout the enrollment season to gain new clients and take great care of current ones. To keep them in 2023, there are a few simple things you'll want to ensure your team does! Join Steve Ogden from AgencyBloc on Thursday, March 30, at 1:00 p.m. ET to discuss the main reasons clients leave an agency or broker and how to avoid these pitfalls.
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The Medicare Agent Podcast
The Medicare Agent Podcast is joined by Janet Trautwein, CEO of NABIP, on this episode she discusses call recording and other important regulatory issues concerning Medicare agents. NABIP (previously NAHU) is a national association for insurance professionals that provides members advocacy, education, and community to improve the lives of Medicare agents.
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Apple Podcasts
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As of 1.1.23, health plans MUST provide employees with an online shopping tool featuring 500 shoppable services, as well as personalized out-of-pocket cost information. These pivotal transparency mandates have spearheaded a massive shift in the role of the healthcare consumer. Are your groups equipped for success? Visit talonhealthtech.com/contact-sales.
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Here's how much diabetes costs employers each year Fierce Healthcare Diabetes costs employers billions every year in both direct costs and indirect costs, as the disease impacts productivity and absenteeism, according to new data from Nomi Health. The direct healthcare provider analyzed the costs associated with diabetes as part of its Trends in Spend Tracker, which uses claims data to identify shifts in healthcare spending.
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With Sunwest Bank’s Selfcare HSA, employees never have to wonder where their money is because we handle everything—their banking needs, their software provider, their customer servicing. We offer a broader array of investment tools than our competitors. HSA without the hassles. SelfcareHSA—A simpler, smarter way to HSA.
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ClaimDOC's unique model within RBP leverages superior member advocacy to build partnerships with members and providers while consistently maintaining a 360-degree of risk as co-fiduciary. Using next-generation technology paired with a human touch makes ClaimDOC the most sustainable alternative in the industry.
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When will Medicare cover medical marijuana? AP News Many older adults are using medical marijuana to treat a variety of conditions, but experts say that conflicting laws, unclear safety standards and complicated rulemaking processes mean it could be years before Medicare may cover the drug.
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2 counties square off with California over mental health duties Kaiser Health News Sacramento and Solano counties are in a standoff with the state over mental health coverage for a portion of Medicaid patients in those counties — a dispute that threatens to disrupt care for nearly 50,000 low-income residents receiving treatment for severe mental illness.
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MedPAC has released its latest report to Congress. Here are 4 things to know Fierce Healthcare The Medicare Payment Advisory Commission has released its annual report to Congress, weighing in on a slew of topics related to the program from physician reimbursement to COVID's effects to private coverage. The commission found that coding differences in Medicare Advantage (MA) increased payments to plans by $17 billion in 2021 alone.
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Senior Market Sales® (SMS) has call-recording technology now available to comply with new Centers for Medicare and Medicaid Services regulations. This technology is available for the 2023 AEP at no cost to SMS-producing agents. LEARN MORE. |
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Bill would require Washington health plans to cover hearing devices State of Reform A bill sponsored by Rep. Tina Orwall (D-Kent) would improve Washingtonians' access to hearing devices by requiring health plans to provide coverage for them. Members of the Senate Health and Long Term Care Committee discussed House Bill 1222 during a public hearing on Tuesday. The bill would require non-grandfathered, large group health plans to provide coverage for hearing instruments.
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One of the most powerful HSA design features is the employer match. Employer matching is almost universal in 401(k) programs because it incentivizes employee participation. Yet it’s rarely seen in HSAs. HealthEquity data indicates that may be a significant oversight. Learn more in this exclusive white paper.
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HHC Group, is saving its clients an average of $6328 (92.1%) on their Qualifying ESRD End stage renal disease patients’ dialysis treatment claims. HHC’s flat rate per treatment charge minimizes client costs, maximizes clients’ net savings. Have HHC reprice your ESRD claims.
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Because when you work in risk assessment, you don’t have a fear of missing out—you have a fear of missing anything. That’s why we obsessively create insurtech tools that make it easier than ever to see more risks and opportunities—so you can fearlessly lead your brokerage forward.
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Mississippi Gov. Reeves vetoes 2 bills on health insurance FOX News Mississippi Gov. Tate Reeves said Wednesday that he has vetoed two bills dealing with insurance because he thinks they would increase the cost of health care. "One is a bad idea, and I can't see myself supporting it. One is a good idea that just includes some correctable mistakes," the Republican governor said in a statement.
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Promoted by Fidelity Investments Understanding what employees will want and need for health benefits isn’t easy. The balance between customization of health benefits and efficiency of standardization can increase the number of benefits employers offer, but with little understanding if they attract, engage, and improve health while not further depriving underserved communities. Learn more about:
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As a leading HSA provider, Fidelity helps clients and their employees address financial and health needs together. Contact us at FidelityHSA@fmr.com.
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Why health care is still hard to access in rural towns near Texas' bigger cities The Texas Tribune On a map, this small town in the South Plains seems well positioned for residents to find health care. With nearly 1,700 residents, Ralls is nestled between Crosbyton, about 10 miles away, and Lubbock, about 30 miles away, both of which have hospitals and emergency rooms. But being neighbors with a larger city has made getting health care harder. With Lubbock quickly growing and in reach, the city has inadvertently sapped patients, physicians and businesses from nearby towns.
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Dialysis Management Solutions (DMS) provides services to help self-funded employers and brokers manage the impact of dialysis claims and ease the stop-loss renewal process. With a focus on plan design, data mining, cost-reduction strategies and case management, our solution helps clients save more than 75% off billed charges, on average.
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In nursing homes, impoverished live final days on pennies AP News New pants to replace Alex Morisey's tattered khakis will have to wait. There's no cash left for sugar-free cookies either. Even at the month's start, the budget is so bare that Fixodent is a luxury. Now, halfway through it, things are so tight that even a Diet Pepsi is a stretch. "How many years do I have left?" asks 82-year-old Morisey, who lives in a Philadelphia nursing home. "I want to live those as well as I can. But to some degree, you lose your dignity."
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Complying with tougher Medicare Advantage audits: 5 things payers and providers should know Becker's Payer Issues As CMS prepares to implement tougher risk adjustment data validation audits in Medicare Advantage, payers and providers can take steps to boost their compliance efforts. In a final rule issued Jan. 30, the agency said it will strike the fee-for-service adjuster from risk adjustment data validation audits, a tool that would have calculated a permissible level of payment errors and limited audit recoveries to payment errors above that level.
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EZaccessMD combines traditional telemedicine with IN-HOME diagnostics (X-ray, Ultrasound, EKG, Strep & Flu tests, etc.) into one complete service. Reduce low-acuity visits to the ER and Urgent Care, mitigate claims, and deliver the best care to your clients.
Watch How it Works
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NABIP Newswire Connect with NABIP
Hailey Golden, Director of Publishing, Multiview, 469-420-2630 | Download media kit Katherine Radin, Executive Editor, Multiview, 289-695-5388 | Contribute news to NABIP
National Association of Benefits and Insurance Professionals 999 E Street NW, Suite 400 | Washington, DC 20004 202-552-5060 | Contact Us | www.nabip.org
NABIP Newswire is a daily brief featuring the latest news of interest to healthcare agents and brokers, selected from thousands of sources by the editors of Multiview. NABIP personnel, in accordance with internal policies, do not approve all stories selected. Any comments regarding content of this publication should be emailed to NABIP. It should not be understood or inferred from the presence of advertisements that NABIP endorses any products or services advertised. Similarly, NABIP is not responsible for the quality of journalism reflected in the articles: it should not be understood or inferred that NABIP supports the information provided. Multiview and NABIP are not liable, for any delays or inaccuracies in the information contained in this brief, nor for any actions taken or outcomes resulting from relying on the information provided herein.
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