Benchmark Solutions’ Post

Struggling with Medicare Advantage complexities? Confusing contracts and claim denials can slow you down. Learn how to navigate the maze and focus on what matters most: providing excellent patient care. Read our blog now: https://bit.ly/4dVlqII #HomeHealth #MedicareAdvantage #SimiTree

The Medicare Advantage market is shifting, and brokers are feeling the impact. Rising beneficiary churn, payer consolidation, and new regulatory pressures are shaking up the industry like never before. Here’s the reality: brokers still play a critical role, managing 70% of MA distribution, but the game is changing. Members are shopping and switching plans more than ever, and customer acquisition costs are climbing. Some brokers are bowing out, while larger players are consolidating and gaining an edge. To stay in the game, brokers need to rethink their approach. Success will mean going beyond enrollment—engaging clients year-round, personalizing support, and proving value to both members and payers. It’s about becoming a trusted partner in beneficiaries’ long-term health journeys. https://hubs.li/Q02_PMc50

Medicare’s open enrollment period happens once a year between October 15 and December 7. During this time, current Medicare beneficiaries have the option to adjust their coverage for the coming year. This can be a useful option for those who may have recently changed medication, underutilized their current coverage or found they could use additional benefits. To learn more, read our blog post here: https://lnkd.in/dYWDjdTn #medicare #financialplanning #financialadvisor

Many of our clients are on Medicare and the open enrollment has begun which means they are about to get several phone calls to get them to join this plan or that. If you are planning a move this coming year, that might affect which plan you should select. To understand better how to choose a plan, you can use this article from the National Council on Aging to better educate yourself. #seniorcare #medicare #seniormovemanagement #seniormovemanager https://lnkd.in/gxRE7hjH

In today's hyper partisan environment, there is hardly anything anyone can agree on. However, #priorauthorization challenges are something both sides of the aisle want to fix. This report highlights what we at Authparency, Inc regularly encounter - Medicare Advantage uses #utilizationmanagement as a regular tool to delay or deny care. There has to be a better way to address this. #businessofhealthcare #revenuecyclemanagement Sapan Bafna Kim Lennox Sharkey, MA, CMPE Karen Pilley Adam Fein Oncospark

If you’re a Medicare Advantage enrollee, now is a good time to assess your plan and decide if you want to stick with it or switch. Why? You only have an opportunity to change plans twice a year, and the spring deadline is March 31. Learn more: https://bit.ly/3x4KXyf #Medicare

If you’re a Medicare Advantage enrollee, now is a good time to assess your plan and decide if you want to stick with it or switch. Why? You only have an opportunity to change plans twice a year, and the spring deadline is March 31. Learn more: https://bit.ly/3x4KXyf #Medicare

Learn about Special Enrollment Periods for Medicare Advantage and drug coverage. Make changes when life events like moving or losing coverage occur. #Medicare #SpecialEnrollment #HealthCoverage #FrancoSuarezAgency https://lnkd.in/eswKMv4p

What is Medicare Part B? From coverage details to enrollment essentials, this article breaks it all down! https://lnkd.in/e2kGtNan

Ever wonder why its so critical to continuously conduct win/loss and voice of the customer research? Take Humana's recent news as a prime example of staying ahead of consumer expectations Humana's shares dropped over 10% after the company warned that a significant decline in Medicare Advantage star ratings could impact its 2026 financial results. The preliminary 2025 ratings from the Centers for Medicare and Medicaid Services show only 25% of Humana’s members enrolled in plans rated four stars or higher, down from 94% in 2024. These ratings directly influence insurer bonuses, with potential revenue losses ranging from $2 billion to $3 billion. Humana is appealing the ratings, citing potential errors and plans to mitigate the revenue hit if the appeal is unsuccessful. The decline could also impact 2025 Medicare enrollments, as seniors will see the lower ratings when choosing plans for the next year. Despite the setback, the company maintains that its 2024 and 2025 outlooks remain unaffected. #HealthInsurance #Fletcher #WinLoss https://lnkd.in/gvNXw9Kr