Medhealth Review’s Post

By now, I'm sure we've all heard the rage around #ozempic and other #semaglutides for their weight-loss powers. Did you know that with myHSA, members can claim for prescription Semaglutides, regardless of what they are being used for? As long as it's prescribed by a medical practitioner and dispensed by a pharmacy, it is an eligible expense under an #HSA! #HealthCare #HSA #WeightLoss #Insurance #benefits https://lnkd.in/gxQixDMd

Prior Authorizations (process of getting prior approval from insurance companies to pay for medications/procedures) had always been a pain for patients and providers. However, its a measure to prevent unnecessary procedures/medications. Here is a good article from Robert Longyear describing a balanced view on prior authorizations and how it needs to be evolved to ensure the patients are not delayed any necessary interventions. https://lnkd.in/g6bCQ4pn #priorauthorization #valuebasedcare #priorauth #healthpolicy

Do you adhere to your treatment regimen? Studies show that 50% of patients do not complete their dosage. This leads to poor treatment outcomes, higher hospitalization rates and increased healthcare costs. Always finish your prescribed drugs and #BeOnTheSafeSide #insurance #healthinsurance

#CMS released national health expenditure data yesterday. Our analysis is here https://lnkd.in/gq9Eeqxc. In a nutshell, 2023 saw a significant increase in public spending, almost entirely due to #Medicare. Private spending (dental insurance + patient out-of-pocket) declined slightly. The financing mix continues to shift over time.

Thank you, Marko, for sharing these insightful findings from #CMS on national dental expenditures. The shift in financing—driven by a significant rise in #Medicare spending—underscores a major transformation in #dental care delivery. At Enable Dental, we’re uniquely positioned to ride this growth wave as we expand across the country, serving the rapidly growing Medicare and #Medicare Advantage (MA) populations like no other DSO can. What sets us apart? 1- We combine B2B partnerships with direct patient care delivery, bringing comprehensive dental services to patients where they are—whether in their homes, assisted living facilities, or other care settings. 2- Our model is uniquely tailored to meet the needs of Medicare and MA plans, which are experiencing unprecedented enrollment growth and increasing demand for accessible dental care. Recent data speaks for itself: • In 2023, Medicare dental spending accounted for $3 billion of the $4 billion increase in U.S. dental expenditures. • Enrollment in MA plans is surging, with projections showing 64% of Medicare beneficiaries enrolled by 2034. Enable Dental’s innovative service delivery model, validated by our recent Series B investment (press release coming soon), positions us as a leader in this space. We’re not just responding to these trends—we’re driving change by ensuring seniors and underserved populations have access to high-quality dental care. 2025 is going to be a transformative year for Enable Dental. Stay tuned as we continue to expand and revolutionize dental care delivery for the populations that need it most. Let’s keep the conversation going—how do you see the financing mix and care delivery models evolving in the dental space? #Medicare #DentalCare #EnableDental #InnovationInHealthcare #DSOLeadership #MedicareAdvantage #Growth American Dental Association NADP

🌟🎉 Important Announcement! Medicare Open Enrollment is coming up, starting on October 15th! 🌟🎉 This is the perfect opportunity to review your current coverage options and compare them to all the available choices for 2024. Selecting a plan that perfectly fits your specific needs and budget is essential. During Medicare's Open Enrollment period, you can make changes to your prescription drug plans or health plans for coverage that begins on January 1, 2024. Remember, the Open Enrollment period ends on December 7th, so it's important to act promptly and not miss out on this crucial window for making adjustments to ensure you have the right coverage for the upcoming year. Personalized assistance and support for your Medicare needs are just a phone call away. Contact a Core Insurance Advisor at ☎️ 877-404-8060 or visit https://lnkd.in/gU-BZad6 to get started. #Medicare #OpenEnrollment #Healthcare #Insurance #MedicareAdvantage #PrescriptionDrugPlans #ComparePlans #EnrollNow #Medicare2024 #HealthCoverage2024 #CoreInsuranceAdvisorss

In an era of high inflation, medical practices are seeing their overhead costs rise while reimbursement rates continue to decline. As physicians look for places to cut costs, insurance often becomes an obvious target. But what to do about it? Hear more from HUB expert, Pete Reilly in Medical Economics: https://ow.ly/mSPv50SESgb #SelfInsurance #Medical #Healthcare #Insurance

In an era of high inflation, medical practices are seeing their overhead costs rise while reimbursement rates continue to decline. As physicians look for places to cut costs, insurance often becomes an obvious target. But what to do about it? Hear more from HUB expert, Pete Reilly in Medical Economics: https://ow.ly/ne0250SMgnH #SelfInsurance #Medical #Healthcare #Insurance

Medicare Part B medical insurance mainly covers doctors’ visits and outpatient services. Eligible individuals pay monthly premiums for the benefit. The premiums for the current year depend on the modified adjusted gross income (MAGI) reported on your Form 1040 for two years earlier. For 2025, most covered persons will pay the base monthly Part B premium of $185. Higher-income individuals pay a surcharge on top of that. For 2025, a surcharge applies if you: 1) filed unmarried for 2023 and reported MAGI above $106,000 that year or 2) filed jointly for 2023 and reported MAGI above $212,000 that year.

In an era of high inflation, medical practices are seeing their overhead costs rise while reimbursement rates continue to decline. As physicians look for places to cut costs, insurance often becomes an obvious target. But what to do about it? Hear more from HUB expert, Pete Reilly in Medical Economics: https://ow.ly/A13350SCMzZ #SelfInsurance #Medical #Healthcare #Insurance