A Binge Read šŸ“– - Medicare 101 Series

A collection of Medicare topics: Part A, Part B, Part C, Part D, Medigap, Value Based Care, SNPs, History of Medicare, & SEPs.

This weekā€™s newsletter is Sponsored By: Telos Actuarial

Download the FREE Medicare Supplement Essentials Guide here ā†’ (link)

Here is what youā€™ll find in this weekā€™s newsletter!

  1. Important links šŸ”— - the best articles we found this week about the Medicare Market along with links to Jaredā€™s recent LinkedIn posts.

  2. Deep Dive šŸ“š - A Binge Read šŸ“– - Medicare 101 Series

  3. Compliance Chatter šŸ“¢ - Compliance never rests!

  4. Sponsor Snapshot šŸš€ - brought to you by Telos Actuarial

  5. Data Visual of the week šŸ“Š - Med Supp Covered Lives by Age of Policy

Itā€™s only a 5 minute read, but it will make you 10x smarter.

Here are IMPORTANT LINKS šŸ”— for the week:

  1. 10 key questions facing Medicare Advantage - (link)

  2. Gen Xers and Millennials: Weā€™ll Pay More to Save Medicare - (link)

  3. Medicare could save $500 million with coverage change- (link)

  4. Majority of States Offer Med Advantage Plans to Retirees - (link)

  5. Biden Administrationā€™s Final Rule on Section 1557 Non-Discrimination Regulations Under the ACA - (link)

  6. Medicare Supplement Enrollment Down Slightly in 2023 - (link)

Jaredā€™s recent LinkedIn posts:

  1. 482,000 MA policiesā€¦Thatā€™s how many approved policies public Medicare eBrokers sold in Q1 ā€˜24 - link

  2. MA enrollment grew ~28,000 during AEP in Indiana. Up 4.4%. - link

I am on vacation! No more LinkedIn posts this week. But, it will make me happy if you share this newsletter while I'm away!

DEEP DIVE šŸ“š

A Binge Read šŸ“– - Medicare 101 Series

Those of you who enjoy binge watching their favorite series on tv will enjoy this weekā€™s deep dive!

We are giving you the opportunity to binge read all of our past newsletter content in the Medicare 101 Series.

These newsletters include all the information you need to learn about, or refresh your knowledge on, all things Medicare.

Find a comfy chair, make some popcorn, and enjoy!

1/ HISTORY OF MEDICARE

A look back to see how the program was originally created and some of the major changes that have taken place.

2/ MEDICARE PART A

A closer look at one of the parts of Original Medicare. This delicious batch of alphabet soup serves up Part A.

3/ MEDICARE PART B

This deep dive continues through the Medicare alphabet by looking at Part B.

4/ MEDICARE PART C

Medicare Advantage History, Benefits & Costs, Plan Types, Star Ratings, and Enrollment Stats

5/ MEDICARE PART D

A look at Medicare Prescription Drug Coverage. The Medicare Alphabet Caboose šŸšƒ 

6/ MEDICARE SUPPLEMENT

Medicare Supplement (ā€œMed Suppā€) policies are designed to help fill the gaps of Medicare Part A and Part B. This deep dive takes a look at Medicare Supplement.

7/ VALUE BASED CARE

Value Based Care is the buzz word in the Medicare provider space. What is it? Why is it important?

8/ SPECIAL NEEDS PLANS (ā€œSNPsā€)

SNP enrollment grew 24% in 2023. What are they? What are the recent trends?

9/ MEDICARE SEPs

Special Enrollment Periods are an important part of Medicare enrollment. We take a look at some of the key SEPs.

Feel free to share this knowledge with friends or co-workers!

Let us know if there are any additional 101 topics youā€™d like to see covered in the future!

Sponsor Snapshot šŸš€: Telos Actuarial

Telos provides actuarial and compliance expertise to help insurance carriers, distributors, and other stakeholders create and manage insurance products focused on the 65+ market.

Some key services we provide are:

  • New product pricing and existing product rerating

  • Market intelligence and product benchmarking

  • Policy and application form development

  • State SERFF filing submissions

  • Insurance Lifetime Value ā€œLTVā€ calculations and commission appraisals

Send us a note to get started: (link)

COMPLIANCE CHATTER šŸ“¢:

Compliance never rests! (However, we hope you had a nice, long Memorial weekend honoring those who serve or have served.)

CMS requires that Medicare Part C and Part D sponsors and their downstream entities maintain effective compliance programs, that include:

  1. Written policies, procedures, and standards of conduct

  2. Compliance Officer, Compliance Committee, and high-level oversight

  3. Effective Training and Education

  4. Effective Lines of Communication

  5. Well-Publicized Disciplinary Standards

  6. Effective System for Routine Monitoring, Auditing, and Identification of Compliance Risks

  7. Procedures and System for Prompt Response to Compliance Issues

CMSā€™ Compliance Program Guidelines can be found here.

DATA VISUAL of the Week šŸ“Š

This weekā€™s data visual comes from Mark Farrah Associates (link). It shows that total Med Supp covered lives declined in 2023.

If youā€™re ready, here are some ways we can help you:

  • Newsletter Sponsorship opportunities: Promote your product or services to leaders in the Medicare space. Letā€™s discuss. (link)

  • Market Research: Reports that help you wrap your arms around the Senior focused insurance markets. (link)

  • Consulting: We can help you develop new insurance products for the Medicare market, appraise your books of business, and keep you compliant. Letā€™s discuss. (link)

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