CMS 4205-P Proposed Rule: Top Five Takeaways
On November 15, 2023, CMS issued a proposed rule that proposes revisions to regulations governing Medicare Advantage (MA or Part C), the...
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- Sep 12, 2023
- 4 min
AI: The good, the bad, and the ugly in Medicare Advantage
When most of us think about artificial intelligence (AI) in healthcare, we don’t usually think about an algorithm determining if our...
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- Sep 1, 2023
- 1 min
Social Determinants of Health and the Updated D-SNP Health Risk Assessment Requirements
Beginning in contract year 2024, there will be CMS changes mandated to Special Needs Plans (SNPs) Health Risk Assessments (HRAs) to...
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- Mar 14, 2022
- 2 min
Model of Care: Evaluate Your Plan’s Evaluation Process!
Co-Authored by Anita McCreavy It is that time of year when plans evaluate their Quality Improvement Program and Model of Care successes...
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