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Viewpoints Blog

Through Member collaboration, MCRA helps drive performance improvements, deliver exceptional service, transform care, and champion the health and wellbeing of the communities we collectively serve.

INDUSTRY INSIGHTS

MEMBER INITIATIVES

The Medicare Prescription Payment Plan: New 2025 Requirements Create Complex Operational Challenges for Health Plans

The Medicare Prescription Payment Plan: New 2025 Requirements Create Complex Operational Challenges for Health Plans

The Medicare Prescription Payment Plan: New 2025 Requirements Create Complex Operational Challenges for Health Plans

M3P isn’t just about payment flexibility, it’s about making healthcare more accessible, understandable, and member-friendly. Command Direct breaks down the mandate.

Oct 1

How Optimized OEP Campaigns Fueled Medicare Advantage Growth

How Optimized OEP Campaigns Fueled Medicare Advantage Growth

How Optimized OEP Campaigns Fueled Medicare Advantage Growth

Engagys presents a case study to improve member engagement, reduce churn, and generate high-quality leads for a large regional Blues plan.

Aug 20

CMS’s RADV Strategy Will Reverberate Throughout Health Plan Operations

CMS’s RADV Strategy Will Reverberate Throughout Health Plan Operations

CMS’s RADV Strategy Will Reverberate Throughout Health Plan Operations

Avalere Health and DRG Claims Management explore how Medicare Advantage plans must take a coordinated, organization-wide approach ahead of CMS' new risk adjustment data validation (RADV) strategy in a recent MHE article.

Jul 16

Medicaid and Medicare Health Plan Leverages Ushur’s AI Agent

Medicaid and Medicare Health Plan Leverages Ushur’s AI Agent

Medicaid and Medicare Health Plan Leverages Ushur’s AI Agent

Ushur presents a case study on a Medicaid and Medicare health plan that implemented their AI agent for member service on their website.

Mar 19

Remove the COBRA Creditable Coverage Penalty in Medicare and Help Seniors

Remove the COBRA Creditable Coverage Penalty in Medicare and Help Seniors

Remove the COBRA Creditable Coverage Penalty in Medicare and Help Seniors

MCRA Strategic Advisor Andrew Biernat recommends legislation to eliminate the COBRA Creditable Coverage Penalty in Medicare.

Jun 6, 2024

Guide to Preparing AEP Documents

Guide to Preparing AEP Documents

Guide to Preparing AEP Documents

MCRA Member, Command Direct, published a two-part series on preparing AEP documents. Plus, download a free printable guide and calendar.

May 23, 2024

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