Cindy Rushing CAPM, MHAHM, MBA’s Post

Maximizing Opportunities Post-AEP: Strategies for Continued Medicare Sales and Community Connection The Annual Enrollment Period (AEP) might have concluded, but the dedication to serving the Medicare population remains unwavering! Health insurance agents, here are impactful ways to continue making Medicare sales and fostering connections even after AEP: 1️⃣ Special Enrollment Periods (SEPs): Keep an eye on SEPs triggered by life events such as moving, losing employer coverage, or qualifying for extra help. These are golden opportunities to assist individuals in choosing or changing their Medicare coverage. 2️⃣ Year-Round Eligibility: Certain beneficiaries are eligible for Medicare plans throughout the year. Engage with individuals turning 65, those with disabilities, or individuals eligible for Medicaid/Medicare Savings Programs, guiding them towards suitable plans. 3️⃣ Dual Eligible Plans: Advocate for Dual Eligible Special Needs Plans (D-SNPs) that cater to individuals eligible for both Medicare and Medicaid. These plans offer comprehensive coverage, making them valuable options year-round. 4️⃣ Follow-Up with Prospects: Continue nurturing relationships with prospects from the AEP. A follow-up call or email demonstrates commitment and provides another chance to address their needs post-enrollment. 5️⃣ Focus on Client Referrals: Satisfied clients can be your best advocates. Encourage referrals from happy customers. 6️⃣ Stay Informed & Adaptive: Keep abreast of plan updates, policy changes, and market trends. Being well-informed allows you to adapt and present the most relevant and beneficial options to potential clients. 7️⃣ Ensure your active involvement in the community by organizing engaging events within local senior centers, food pantries, and faith-based organizations. Embrace creativity! Consider hosting a 'Painting with a Twist' session or a delightful 'Speed Dating' evening tailored for single seniors on Fridays. Stand out from the crowd and earn recognition by offering unique and memorable experiences! Remember, the commitment to serving the Medicare population doesn't end with AEP. By leveraging SEPs, maintaining year-round engagement, and staying adaptable, you can continue making a positive impact and driving Medicare sales beyond the enrollment period! #MedicareAdvantage #HealthInsurance #HealthInsuranceAgent #PostAEPSales #AnnualElectionPeriod #MedicareSales #Medicare #MedicareAgent #MedicareBroker

📣 𝗔𝘁𝘁𝗲𝗻𝘁𝗶𝗼𝗻 𝗘𝘃𝗲𝗿𝘆𝗼𝗻𝗲: 𝗛𝗲𝗮𝗹𝘁𝗵 𝗜𝗻𝘀𝘂𝗿𝗮𝗻𝗰𝗲 𝗢𝗽𝗲𝗻 𝗘𝗻𝗿𝗼𝗹𝗹𝗺𝗲𝗻𝘁 𝗶𝘀 𝗛𝗲𝗿𝗲! 📣 The Washington Post has just released an insightful article on how to navigate the tricky waters of health insurance open enrollment. Don't miss out on optimizing your coverage! 🏥💡 🔑 Key Takeaways 1️⃣ Actively review your current plan to ensure it meets your needs. 2️⃣ Consider out-of-pocket expenses and flexible spending accounts. 3️⃣ Don't miss the deadlines for open enrollment. 👉 Read the full article here: https://wapo.st/3Qd8nsn Are you looking for home care for yourself or a loved one? Please get in touch here - https://bit.ly/3BwViQU or there are multiple links in the bio Or 📞 Call us here - (718) 621-8189 🔖 #HealthInsurance #OpenEnrollment #Healthcare #WashingtonPost

For years, Medicare Advantage has been the place to be. Now, there are signs that its glory days are coming to an end. Last week, Cigna said it struck an agreement to sell its Medicare Advantage plans to Illinois-based insurer Health Care Service Corp. for $3.7 billion, a deal that's been rumored to be in the works for weeks. Cigna's senior business isn't the biggest, but it's also nothing to sneeze at, with 600,000 members and $9 billion in revenue. Even so, in a call with analysts, Cigna CEO David Cordani said the business wasn't worth the money it would take to maintain. Cigna's decision to ditch the senior business highlights the massive challenges that health insurers in this market are facing, from higher medical costs to lower payments from the federal government, making the business less of a sure bet. Moreover, older adults look to be joining Medicare Advantage at a slower clip than in past years, raising the question of whether enrollment in the market is maxing out. Cordani said as much on Friday: "The primary wave of the baby boomer aging has reached a peak and is slowing." https://lnkd.in/gY9uXCNC Business Insider

Medicare Advantage has emerged as the most sought-after line of business in health insurance. As the giants of the industry scramble to secure their slice of the 33 million traditional fee-for-service Medicare beneficiaries, the upcoming open enrollment for Medicare, starting next Sunday (10/15/23), promises to be a heated affair. 💰 Why Should You Care? For stakeholders, notably medical device and pharma manufacturers, understanding the distribution of Medicare beneficiaries and identifying the dominant payors in each state is crucial. This article offers a deep dive into where the biggest battles will take place and these five payors will be at the forefront of these battles to gain market share. ➡ United Healthcare with 9,026,633 covered lives. ➡ Humana with 5,755,031 covered lives. ➡ Aetna with 3,366,126 covered lives. ➡ Elevance with 2,023,643 covered lives. ➡ Kaiser Permanente with 1,869,390 covered lives. 💡 Now that you know the major national players, let's take a look at the top 15 States, who the major players are and how many are left to be fought over as we embark on the next 7 weeks of open enrollment......https://lnkd.in/gS_juC72 #healthcare #medicare #digitalhealth

Medicare Advantage is on course to cover 69% of the federally-administered #medicare population by 2030. For #healthplans or #insurance companies, it’s important to take these two actions as #MedicareAdvantage Plans begin to dominate and reshape the future of #healthcare. https://hubs.li/Q023CrPf0

The CMS' decision to lower base payment rates and implement other changes in the Medicare Advantage program for the 2025 coverage year will have a major impact on the MA industry, but the effect will not be as great on large health insurance providers such as Cigna, Humana and Elevance Health, according to industry expert Paul Keckley. The changes will likely have a more significant impact on MA beneficiaries, smaller health insurers, agents, brokers, marketing organizations, supplemental service providers, physicians and hospitals, a report from Keckley found.

Medicare is confusing, especially if you aren't constantly working with it like I am. Here's a great article outlining some key differences between the various Medicare Parts. I am always available as a resource to help guide you or someone you know through Medicare health plans and supplements. Hop on my Calendly for a chat! Calendly.com/gzayed https://lnkd.in/dqq9GgTf #health #healthinsurance #medicare #medicaresupplements #affordablecare #insurance #411onhealthinsurance

#Questionforgroup Sales and marketing is often a healthcare compliance officer's biggest headache. How would the oversight plan look for the insurer that acquires an insurance broker? CVS Health has acquired #medicareadvantage broker Hella+Health. The broker firm guides consumers through the Medicare plan selection process via the company’s wholly-owned, licensed insurance agency. The company provides the following services: #Medicare eligibility and coverage coaching, Medicare plan shopping, and tracking changes to the Medicare market or an individual Medicare plan. The acquisition comes around the time that CVS Health revealed a somewhat sour Q1 2024 report, largely due to its Medicare Advantage business. The healthcare company cut its operating income by more than half due to its lower Medicare Advantage #starratings and higher Medicare utilization. Net income dropped to $1.12 billion, a steep decline from $2.14 billion in 2023. While the broker states it doesn't push certain plans, it does derive revenue through commissions. If Hella+Health is obliged to receive a reward for a sales quota under its contract with a company, the reward is donated, the company states. #CVSHealth saw its total revenues for the Health Care Benefits segment increase, in part due to #Medicare growth. Aetna, a CVS Health Company Medicare Advantage plan enrollment grew from 3.38 million enrollees at the end of March 2023 to 4.20 million by the end of the first quarter of 2024.

HealthCareDive: "UnitedHealth Management has said they expect their share of the market to grow as more seniors age into the government insurance program and select MA [#MedicareAdvantage] over traditional Medicare. However, UnitedHealth is now saying that MA growth could be depressed next year thanks to a rate notice from the CMS that’s deeply unpopular with insurers. "Earlier this year, the CMS finalized MA rates for 2024 that regulators said should result in a 3.3% increase in revenue for health insurers in the program. The changes also include a new approach to risk adjustment meant to curb upcoding, a practice where insurers inflate their members’ sicknesses to get higher payments from the government. However, insurers have said the changes, which are being phased in over the next three years, will result in a net decrease to MA revenue overall. #healthcare #medicare https://lnkd.in/gGi3TZau Pamela Mokler, MSG, Jan Walsh, MBA, PAHM, Brian Silverstein, MD

Navigating Health Benefits: Medicare vs. Tricare Understanding how Medicare and Tricare work together can be crucial for those eligible for both. Whether you're a consumer or an HR representative, it's important to grasp their synergy to ensure optimal healthcare coverage. As mentioned previously, Medicare is a federal health insurance program primarily for people aged 65 and older, while Tricare is a health care program for military members, retirees, and their dependents. *Here's the synergy: If you have both, Medicare typically acts as your primary insurance, covering Medicare-approved services first. Tricare then steps in as the secondary payer for some costs not fully covered by Medicare, such as copayments, coinsurance, and deductibles. This partnership ensures a broader coverage net, minimizing out-of-pocket expenses for enrollees. However, to activate this benefit, you must be enrolled in both Medicare Part A and Part B, and inform Tricare of your Medicare enrollment. Remember, understanding the specifics of how these two programs work together can significantly impact your healthcare coverage and out-of-pocket costs. For personalized advice, consider consulting with me to learn the ins and outs of Tricare and the correlation of Medicare. #Medicare #Tricare #HealthInsurance #MilitaryBenefits #Education