Boost Performance & Stay Ahead of Regulatory Changes

CMS has signaled a renewed commitment to health equity with the introduction of the Health Equity Index (HEI), designed to motivate Medicare Advantage (MA) plans to identify and address disparities in care to members with social risk factors such as dual-eligibility,...

First Analysis Managing Director Andrew Walsh is a longtime healthcare executive and entrepreneur, who has worked with organizations like Optum, UnitedHealth Group and DaVita Health. He founded and scaled Educerus Health Solutions (acquired by PopHealthCare), an...

CMS released its much-anticipated 2024 Medicare Advantage final rule and Part D, which go into effect in 2025, codifying many of the provisions it proposed in the fall. We highlight six changes that will impact general enrollment MA plans, supplemental benefits...

Much like social determinants of health, addressing health related social needs (HRSN) is important for improving overall health outcomes and reducing health disparities. Several states are taking steps to address health related social needs and CMS is offering...

The shift to value-based care and the role of health plans to support that vision was a key theme at the recent RISE National Conference in Nashville. “We continue to hear from benefit and in-home service providers about the importance of creating value and moving the...

CMS recently published an update on its Medicare value-based care strategy that anchors on three pillars: alignment, growth and equity. Notably, CMS calls on MA plans to use supplemental benefits to create value, and lean into the shift to value-based care. This call...

The D-SNP market continues to grow to accommodate the rapid rise of the dual-eligible population and ongoing policy changes from CMS that will shape the market. Beneficiaries who are dually enrolled in both Medicare and Medicaid are cited as a target pocket of growth...

CMS has proposed regulatory requirements for supplemental benefits in 2025 that will demand a new approach from Medicare Advantage plans. And with recent legislative progress, some changes are increasingly close to a reality.  With an eye on the ever-evolving health...

We're excited to announce that Dina has been named to the Inc. 5000 Regionals: Midwest list, the most prestigious ranking of the fastest-growing Midwest private companies. This is the third year in a row that Dina has achieved this milestone. According to Inc., the...

First Analysis, a leading venture capital investor, has made a new investment in Dina. First Analysis led the $7 million Series B round, with participation from existing investors Osage Venture Partners and First Trust Capital Partners, LLC. In December, SCAN Group, a...

Proposed rules from CMS are pushing health plans to demonstrate value and return on the investments they're making in products, benefits and services.  Historically, health plans have used products and benefits to attract and retain their membership. Now, there's...

Special Needs Plans (SNPs) provide specialized coverage — extra benefits and coordinated care — for people who have chronic medical conditions or face certain severe or disabling health situations. What are the Three Types of SNPs? SNPs come in three types, each with...

Dina was recognized as one of the Best Places To Work in 2024 by Purpose Jobs!  Purpose Jobs is the largest community of purpose-driven startup and tech professionals. Companies across emerging tech hubs (and those hiring remotely) were evaluated on and selected for a...

Clear Spring Health wanted to solve a problem that plagues most of the industry: it takes too long to coordinate home health services for members when they are returning home after a hospital stay. “There was a lot of back and forth via phone between the discharge...

Supplemental benefits continue to grow across more plans. Now CMS wants to know who is using them and what impact they have. Nearly all Medicare Advantage (MA) plans offer at least one supplemental benefit; the most frequently offered are vision, hearing, fitness, and...

We know that most people want to age in place and receive care in their homes and communities. But shifting care to the home doesn’t happen overnight. It requires new models and digital tools to help people get the services they need, and stay connected to their...

Medicaid enrollees who used long-term services and supports (LTSS) had disproportionately high spending in 2020, but just 24% who utilized the benefit did so in an institutionalized setting, according to a recent KFF report.  As the population continues to age, it is...

Special Needs Plans (SNPs) and Medicare-Medicaid Plans (MMPs) have long worked to match their dual members with much-needed in home services such as personal care or transportation.  As more plans offer these types of non-medical services, are they having the intended...