"Like many people, I ended up in Medicare Advantage by happenstance. I was in my second year of college, and I got a job in Customer...

On June 28, 2021, CMS announced that the Timeliness Monitoring Project (TMP) will be moving from the 1Q of the subsequent year to the 3Q...

The Centers for Medicare and Medicaid (CMS) audit season is upon us reminding health plans that it’s a good time for an internal review....

In case you were unable to join Rebellis Group and Carrot Health for our discussion around the importance of Member Experience – we've...

Co-Authored by Jennifer Young and Roxanne Newland The real-time drug benefit comparison tool (also known as RTBT) was proposed by CMS in...

SAN FRANCISCO, Feb. 3, 2020 /PRNewswire/ -- Today marks the launch of Rebellis Group, LLC, a new government programs consulting firm...

As we careen toward the beginning of the new plan year, don’t forget to think about member outreach for formulary changes effective...

For MA plans, 2020 has been a period of vast changes in the risk adjustment industry, unlike anything we have seen in years past. The...

As 2020 has been challenging on so many fronts, health plans will want to “put their best foot forward” on January 1, 2021. New members,...

In episode 291 of the Relentless Health Value podcast, Rebellis Group co-founder Betsy Seals and host Stacey Richter discuss the current...

Co-Author: Charro Knight-Lilly In any industry, member, client, or customer experience and retention is a critical part of success. After...

Betsy Seals and Deb Devereaux, MBA, RPh, explain what motivated them to start a managed care consulting business; how COVID-19 shifted...

Today CMS announces further updates to 2021 plan year (and beyond) benefits. If you are intimately involved in your organization’s plan...

Co-Author: Debra Devereaux MBA, RPh Although we’re almost to the plan benefit package (PBP) and bid filing deadline (it’s the final...

As expected, CMS has provided Medicare Beneficiaries with a Special Election Period (SEP), as communicated on May 5th via an HPMS memo...

On April 21st, CMS released a memo titled "Information Related to Coronavirus Disease 2019 - COVID-19", which supersedes the previous...

As active leaders in the healthcare industry, we feel the fear, stress, and isolation as we watch the daily news and do our best to...

As we post this today, the “social isolation” guidelines instituted to curtail COVID-19 have been extended through April 30. For those...

Co-Author: Debra Devereaux MBA, RPh Over the past two years, CMS has made significant regulatory changes which have allowed Medicare...

The CMS regulations for the Part D program which came into being in January 2006 must be tens of thousands of pages by now. There is a...