The Medicare Advantage (MA) landscape is evolving rapidly, carrying significant implications for providers, payers, and beneficiaries alike. In a recent webinar titled The Future of Medicare Advantage in the Trump Transition – Will AI Help Pave the Way?, InfoMC Board Member and renowned population health expert Dr. David Nash joined fellow industry leaders from the… Continue reading The Future of Medicare Advantage: Finding the True North with AI and Innovation
To manage individuals with complex and ongoing needs—such as those with chronic illness, disabilities, or other conditions that limit their ability to function well in their daily lives—a growing number of states are turning to managed long-term services and supports (MLTSS) programs. Improving outcomes for these complex individuals focuses on comprehensive, coordinated care characterized by… Continue reading Optimize Your MLTSS Program to Effectively Manage Your Complex Populations
In today’s healthcare landscape, managing prior authorizations is a necessary—but painful—step in the delivery of medical and behavioral health treatment. Not only are prior authorization processes often manual and error-prone, but the administrative burden diverts valuable time and resources away from patient care. More concerning, delays in obtaining approval can postpone critical care, causing health… Continue reading From Frustration to Satisfaction: How to Transform the Prior Authorization Experience
