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...

Co-Authored by John Selby and Diane Hollie This Annual Enrollment Period will definitely be one to watch. The key themes emerging from...

CMS Star Ratings and Member Experience

Part D Pharmacy Directors and Formulary administrators, Rebellis is ready to assist you with your 2023 BAT testing! Benefit...

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...

On June 7, 2022, The Centers for Medicare & Medicaid Services (CMS) announced the release of the 2021 Part C and Part D Program Audit and...

The growth of Medicare Advantage (MA), by almost every measure, is continuing at an explosive rate with no end in sight. The...

The Centers for Medicare and Medicaid Services (CMS) published a preliminary Final Rule on April 29 revising Medicare Advantage (MA)...

Since the Comprehensive Medication Review (CMR) completion rate became a Star measure, Part D sponsors have devoted internal and vended...

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

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...

The majority of Medicare Advantage Part D (MAPD) health plans utilize a “template formulary” configured by their PBM (Pharmacy Benefit...

Co-Authored by Anita McCreavy It is that time of year when plans evaluate their Quality Improvement Program and Model of Care successes...

Rebellis Academy offers online training to suit all organizational needs. Select from our out-of-the box courses, provide your own, or...

Rebellis Group's Betsy Seals and John Selby were recently interviewed by AIS regarding CMS's take on third party marketers and the...