May 261 minMedicare Advantage is Growing: Are you Ready?The growth of Medicare Advantage (MA), by almost every measure, is continuing at an explosive rate with no end in sight. The...
May 163 minCMS 2023 Final Rule: Top 5 TakeawaysThe Centers for Medicare and Medicaid Services (CMS) published a preliminary Final Rule on April 29 revising Medicare Advantage (MA)...
Apr 292 minWhat is your Medication Therapy Management Program really doing for your members?Since the Comprehensive Medication Regimen (CMR) completion rate became a Star measure, Part D sponsors have devoted internal and vended...
Apr 123 minCompliance2023 MA and Part D Final Rate Announcement Includes 8.5% Revenue Boost, Increased Star RatingsThe Centers for Medicare and Medicaid Services (CMS) published the Announcement of Calendar Year (CY) 2023 Medicare Advantage (MA)...
Mar 291 minComplianceHave you Implemented and Tested the 2022 Audit Protocols?Now that we are through the gates of AEP/OEP season, it’s time to focus on key upcoming events: Program Audits and Timeliness Monitoring...
Mar 233 minPart DRethinking FormulariesThe majority of Medicare Advantage Part D (MAPD) health plans utilize a “template formulary” configured by their PBM (Pharmacy Benefit...
Mar 81 minRebellis Group is Pleased to Offer a Comprehensive MA and Part D Training SolutionRebellis Academy offers online training to suit all organizational needs. Select from our out-of-the box courses, provide your own, or...
Mar 81 min2022 Outlook: Increased Marketing Oversight Is Top MAO Compliance ConcernRebellis Group's Betsy Seals and John Selby were recently interviewed by AIS regarding CMS's take on third party marketers and the...
Feb 161 minWith more choices than ever, how will your Medicare Advantage Plans stand out in 2023?Join Deft Research’s George Dippel and Rebellis Group’s Betsy Seals and John Selby as they present key findings from Deft’s 2022 Medicare...
Jan 193 minMedicareMedicare Advantage and Part D Proposed RuleCo-Authored by Debra Devereaux and Roxanne Newland CY2023 Medication Advantage and Part D Proposed Rule (CMS-4192-P) Proposed provisions...
Jan 1923 minPodcast: Supplemental Benefits in Medicare AdvantageBetsy Seals, CEO of the Rebellis Group Updated: Dec 9, 2021 B-Time with Beth Bierbower on Apple Podcasts To help us understand what...
Jan 192 minAn Ounce of Prevention is Worth a Pound of CurePart D Rejected Claims Review Co-Authored by Debra Devereaux and Roxanne Newland Where Medicare programs are concerned, no platitude...
Jan 193 minPrescription Drug and Health Care SpendingUnder the Consolidated Appropriations Act (CAA) 2021 On July 9, 2021, President Biden issued Executive Order 14036, “Promoting...
Jan 192 minMarketingMarketing & Sales MisrepresentationsMarketing & Sales Misrepresentations - Detection & Prevention Activities Every MAO Should Implement Now that the Annual Election Period...