Sep 12, 20234 minComplianceAI: The good, the bad, and the ugly in Medicare AdvantageWhen most of us think about artificial intelligence (AI) in healthcare, we don’t usually think about an algorithm determining if our...
Sep 1, 20231 minComplianceSocial 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...
Aug 9, 20222 minComplianceSNP MOC Audit Readiness: Is your team prepared?CMS Program Audits are in full swing this summer, but are you truly prepared? If you are a Special Needs Plan (SNP) and you are not quite...
Mar 14, 20222 minClinical and QualityModel 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...