Shapes in the Fog in Government Health Programs Become Clearer

John Gorman

It’s only been four chaotic weeks into the Trump Administration, but the shapes in the fog in government health programs are slowly becoming clearer.

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Throwing a Wrench into Obamacare – The Effects of the Administration’s Latest Moves

Olga Walther

After a week of reflection, the general consensus is the new administration’s “market stabilization” proposal does not do …

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Perhaps a Visit to the Physical Therapist Is in Order – Make Sure Your CDAG Process Is Not a Weak Spot

Caron Wingerchuk

Coverage Determinations, Appeals, and Grievances (CDAG) remain a compliance Achilles heel for many Part D sponsors. The Centers …

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Teaming with Providers: Collaboration to Achieve Results

Elena Martin

When a team works well together, the members collectively accomplish more than any of the individuals could have …

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Member Experience – Do You Understand Your Members and Their Needs?

Carrie Barker-Settles
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Will Trump and Price Pull Out the Scalpels for Star Ratings?

John Gorman

Star Ratings have driven the market in Medicare Advantage (MA) and Part D since the Affordable Care Act …

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CMS Releases Widely Anticipated Proposed ACA regulation, the New Administration’s First Attempt at Market Stabilization

Olga Walther

On February 15, 2017, the Centers for Medicare & Medicaid Services (CMS) released its widely anticipated proposed rule …

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