White Papers

The New CMS Compliance Paradigm

CMS has initiated the most substantial shift in its Medicare Advantage and Part D monitoring program in recent memory. The extent of this change on MA and PDP sponsors does not concern the compliance department alone.

HCR111309.pdf

With the passage of the Affordable Health Care for America Act in the House on November 7, 2009, the nation witnessed the most historic health care events of our generation. Sweeping change to this country’s health care system and almost $900 billion in new expenditures translates into a massive opportunity – but here, as always, luck will favor the prepared. Access our Executive Briefing on this topic here.

HCR120409.pdf

With the Senate debate underway, private plans must prepare for the Medicare changes at center of negotiations. While Senate debate and conference committee negotiations will be difficult, there is surprising consistency in the Medicare Advantage (MA) and Part D provisions being proposed. This usually means that the provisions will be included in final legislation, expected to emerge in early 2010. Access our Executive Briefing on this topic here.

Health Care Reform: A Catalyst For Integrated Medical Management

Passage of sweeping health care reform is now in doubt. However, the year-long debate served as a catalyst to health plans, large and small, for one important area of focus: effective, integrated medical management. Access the third in our Executive Briefing Series on the topic of health care reform here.