Stop Settling: Are You Getting Partial Dual Premiums for Full Dual Risk?
Dual Eligibility Solutions at BeneLynk Medicare Advantage plan members, who qualify for both Medicare and a state’s Medicaid program, are...
Ava
Ava
Lance Scott
Vice President, Operations
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Vicki Jessup
AVP, Medicare & Medicaid Government Relations
Ava Bruce
Director, Human Resources
Ava
Sharing a Few Thoughts
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- May 10
- 3 min
CMS Publishes Final Rule Mandating Special Needs Plans Screen for Certain SDoH Barriers
The primary stated purpose of this requirement is to allow SNPs to incorporate this information into the overall plan of care for members
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- May 2
- 2 min
Remember the Partial Duals During PHE Unwind
With the COVID-19 public health emergency potentially coming to a close there has been a lot of well-grounded discussion about how to...
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- Feb 16
- 1 min
How the Pandemic Exacerbated SDoH Barriers for Medicare Advantage Members
Strategies for Effective SDoH Outreach Campaigns in 2022 We all have our own unique life history, our own strengths and our own...
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- Nov 8, 2021
- 3 min
The Pandemic’s Hidden Crisis: New Dual Eligible Medicare Members
The COVID-19 Pandemic has created disproportionate employment challenges for the over age 65 population, decreasing financial security,...
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- May 25, 2021
- 3 min
Medicare Advantage plans: What are you doing to plan for the end of the Covid-19 PHE?
Like so many individuals and organizations, state Medicaid agencies have experienced challenges during the COVID-19 public health...
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- Apr 21, 2021
- 2 min
BeneLynk Advocacy and Government Relations: Working as Partners to Serve Members
We sometimes get asked “just what exactly does the Government Relations team do for a company like BeneLynk?” We have many different...
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- Feb 8, 2021
- 2 min
Who Do You Want Calling Your Members?
At BeneLynk, our approach to documenting and addressing Social Determinant of Health (SDoH) barriers is centered on a human-to-human...
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- Jan 27, 2021
- 2 min
Addressing Hunger in Medicare and Medicaid Populations During the Pandemic
When we think about barriers to living a healthy life, we often do so in the context of Maslow’s Hierarchy of Needs. Access to adequate...
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- Dec 18, 2020
- 2 min
Government Relations and Dual Eligible Advocacy
At BeneLynk, we believe that the success of a Dual Eligible Advocacy service is measured by the member experience and by the increase in...
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- Dec 14, 2020
- 2 min
After decades of outreach, why are you still not receiving complete revenue for your MA membership?
As health plans meet the challenges of Covid-19, new awareness has grown of a broad spectrum of day-to-day challenges member’s face:...
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- Oct 6, 2020
- 2 min
Update on Dual Recertification and Covid: PHE Extension
We’ve written before about the Public Health Emergency and its impact on Medicaid recertifications. With Secretary of Health and Human...
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- Jul 29, 2020
- 2 min
Documenting the Prescription Drug Use of Medicare Advantage Members Who Use the VA
As you may know, 22% of all Medicare Advantage members are veterans. 5% of all Medicare Advantage members receive care through the VA....
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- Jun 30, 2020
- 2 min
CMS Findings on COVID 19 and Dual Eligibles
Last week, The Centers for Medicare & Medicaid Services (CMS) released data and commentary shedding light on the disproportionate impact...
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- Jun 5, 2020
- 3 min
Medicare Advantage Dual Enrolled Retention and COVID-19
The COVID-19 pandemic has impacted how healthcare is delivered nationwide and touches virtually every service that managed care plans...
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- Apr 30, 2020
- 3 min
A Big Change to Medicare Risk Adjustment: Incorporating Social Determinants of Health
Will SDoH reshape Medicare risk adjustment? For decades, the Centers for Medicare & Medicaid Services (CMS) has recognized that...
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- Sep 6, 2019
- 4 min
Dual Eligible Outreach and Advocacy: The BeneLynk Approach
Dual Eligible Outreach and Advocacy is not a new initiative in Medicare Advantage. Back in the early 2000s many of us on the BeneLynk...
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- Jun 3, 2019
- 3 min
Dual Eligible Advocacy: A Key Social Determinant of Health Service
Social Determinants of Health (SDOH) are all the talk in managed care now. Behind all the buzz, is the big question — how do we...
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- Jan 19, 2018
- 2 min
What Happens to the 7-8% of Medicare Members Who Use the VA During a Government Shutdown?
The once remote threat of a government shutdown has become an immediate probability. As Aaron Blake wrote in today’s Washington Post, the...
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