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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...

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...

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...

SNP 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...