AHIP President and CEO Mike Tuffin urged policymakers to strengthen and build on the value of the Medicare Advantage program, which serves more than 33 million members after the Medicare Payment Advisory Commission released a report calling for a major overhaul of the program. Tuffin said MedPAC's estimates suggesting the US government will pay $83 billion more on Medicare Advantage members this year than if they were enrolled in traditional Medicare "overlook basic facts about who Medicare Advantage serves and the value the program provides."
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Some health insurers such as Elevance Health said they have seen a large drop in volume of claims submitted by providers after the cyberattack on Change Healthcare in late February, but the hack had limited impact on prior authorization processes. Humana had difficulty gauging total medical costs as a result of the cyberattack as about 20% of provider claims go through Change's systems before reaching the insurer, Chief Financial Officer Susan Diamond.
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For employers, the price of benefits appears to be a less important consideration than it was in the past, and employee wellness is taking on a more important role, a TransUnion study found. Dennis Connor of Tompkins Insurance Agencies said the findings illustrate the significant pressure employers experience to "win talent through relevancy," as a more competitive job marketplace and lower unemployment make it more difficult to find and keep talent.
A bipartisan group of US senators is working on a measure that would integrate Medicare and Medicaid into a more streamlined program, which could have a major effect on dual eligibles and enrollees. The Delivering Unified Access to Lifesaving Services Act of 2024 could help change the fact that dually eligible patients tend to have worse health outcomes despite more spent on their care, Sen. Bill Cassidy, R-La., said in a statement.
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