Tag: Medicare Advantage

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How to Manage in Managed Care, Part 2

While provider participation in managed care remains optional, managed care is now an integral part of US healthcare, and hearing care as a supplemental benefit continues to grow in private and public health plans. Part 1 (published in September) of this 3-part series was a primer on health insurance and managed care. In Part 2, we investigate the recent growth of managed care and the expansion of supplemental benefits such as dental, vision, and hearing care and common perceptions and criticisms of managed care among hearing healthcare providers.

'CNBC' Reports Apple in Talks with Private Medicare Plans to Subsidize Cost of Apple Watch

According to the report, the newest version of the Apple Watch—which retails for $399—includes features like fall detection and an electrocardiogram (ECG) sensor which can help detect irregular heart rhythm. Insurers are looking to subsidize the cost—which may be unaffordable for some senior Medicare patients—as a preventative strategy to detect potentially expensive health problems before they worsen.

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Patients with Untreated Hearing Loss May Incur Higher Total Health Care Costs

Compared to the patients without hearing loss, patients with the condition generated nearly 26% more in total health care costs within two years, a gap that widened to 46% by 10 years, amounting to $22,434 per individual ($20,403 incurred by the health plan, $2,030 by the individual in out-of-pocket costs).

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Getting Ahead of the Curve, Part 1: Four Cornerstones of a Fee-for-Service Clinic

The hearing healthcare landscape is changing, but there are several ways to not only survive but thrive in this new age including Medicare Advantage programs and constantly improving direct-to-consumer hearing devices. Part 1 looks at practical pathways for shifting to a fee-for-service (unbundled) business model.

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Managed Care: Threat or Opportunity?

Managed care continues to pose challenges and opportunities for hearing healthcare professionals. In 2017, the number of individual Medicare Advantage enrollees enrolled in a plan with a hearing aid benefit increased to 65% from only 47% in 2015. This article presents a perspective on the evolution of managed care and how dispensing professionals can evolve and adapt in these changing times.

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