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Risk Adjustment: Is Your Organization Ready For The Transition from V24 to V28?

What is the No Upcode Act?

A bipartisan bill has recently been introduced by Senators Bill Cassidy, MD (R-LA) and Jeff Merkley (D-OR) aimed at addressing risk...

Calendar Year 2024 Rate Announcement

On March 31, 2023, the Centers for Medicare & Medicaid Services (CMS) issued its Announcement of Calendar Year (CY) 2024 Medicare...

CMS Issues Final Rule to Hold MAOs Accountable for Risk Adjustment Practices

On January 30th, the U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS),...

How Medicare Advantage Plans Will or Will Not Succeed, With Betsy Seals

Here’s a big thing that Betsy Seals makes clear in this show: Big companies can be successful in Medicare Advantage (MA)—and I mean...

2023 MA and Part D Final Rate Announcement Includes 8.5% Revenue Boost, Increased Star Ratings

The Centers for Medicare and Medicaid Services (CMS) published the Announcement of Calendar Year (CY) 2023 Medicare Advantage (MA)...