Community HealthChoices 101

Community HealthChoices 101

What is Community HealthChoices?

Community HealthChoices (CHC) is a new Medicaid managed care program for certain people currently on Medicaid. Department of Human Services and the office of Long Term Living will pay CHC plans and monitor them. The goal is to deliver and pay for Medicaid physical health and long-term service and supports (LTSS) coverage where eligible. CHC plans will be responsible for developing provider networks, approving services and paying providers.

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Goldilocks and the single premium life plans

Goldilocks and the single premium life plans

Most of you have probably heard of the Robert Southey story, Goldilocks and the three bears. If you are not familiar with it, or need a reminder, it's the story of a little girl named Goldilocks.

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Help your clients reduce prescription over-spending

Help your clients reduce prescription over-spending

"I can't afford my medications!" How many times have you heard your clients complain about the cost of their medications? Here are a few things you can do to help them stop over-spending on prescriptions.

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In an industry of change, how do you remain focused?

In an industry of change, how do you remain focused?

Very few industries have experienced the changes that the health insurance segment has. In fact, my mantra was previously, "with change comes opportunity" and I still believe this. However, after so many years of change, there is a toll taken on motivation and the belief that improvements are ahead.

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IRMAA? Who is IRMAA?

IRMAA? Who is IRMAA?
The income-related monthly adjustment amount (IRMAA) makes Medicare beneficiaries cringe. It's added to their Part B and Part D premiums if they make above a certain threshold, and the bottom line is, the more they make the more they pay.
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