Betsy Seals, CEO and co-founder of Rebellis Group, dives into the evolving landscape of Medicare Advantage policies. She examines the potential shifts in the Medicare Advantage Stars Program due to lawsuits and the new administration's guidelines. There's an engaging discussion about risk adjustment practices, AI's role in prior authorization, and increased scrutiny on agent marketing tactics. Betsy stresses that Medicare Advantage plans must focus on patient value and innovative data use to navigate these changes effectively.

Betsy Seals, CEO and Cofounder of Rebellis Group, discusses the success factors of Medicare Advantage plans, including building relationships with brokers and health systems, and the importance of local market knowledge. The podcast also explores the profitability of Medicare Advantage plans, challenges in product design, analyzing data and innovative strategies, and the impact of social determinants of health on health outcomes.