by Team ReferWell | Jun 13, 2025 | Blog
Access to care is one of the most critical factors influencing member health outcomes and satisfaction. When members struggle to navigate the healthcare system, it can lead to delayed treatment, unmet health needs, and poor overall experiences. Challenges such as...
by Team ReferWell | Jun 9, 2025 | Blog
CMS’s recent announcement to audit every Medicare Advantage (MA) plan annually marks a major shift in oversight, with a clear focus on ensuring that diagnoses, especially those identified during In Home Assessments (IHA), are fully supported by medical records and...
by Meghan Snyder | Feb 13, 2025 | Blog
The consumerization of healthcare is transforming how individuals access and manage their health. Mobile apps, health plan portals, and AI-powered chatbots are at the forefront of this shift, offering personalized, on-demand tools that mirror the convenience of...
by Team ReferWell | Jan 9, 2025 | Blog
As we enter 2025, the healthcare industry stands at a pivotal moment shaped by transformative trends from the past year. Advancements in artificial intelligence (AI), escalating healthcare costs, and heightened cybersecurity threats have underscored the need for...
by Gene Huang | Nov 6, 2024 | Blog
Since the 1980s, Medicare-eligible individuals have had the choice between the traditional fee-for-service plan, where the federal government pays healthcare providers a set fee for each service, and Medicare Advantage (MA), where the government pays private health...
by Team ReferWell | Sep 11, 2024 | Blog
For many health plans, breaking free from a 3-Star rating can feel like an insurmountable challenge. Being stuck in this ratings purgatory not only limits your access to quality bonus payments but also hampers your ability to attract new members and diminish your...
