Is Obamacare Repeal Dead? Not So Fast…

Thomas Johnson

Many thought, with the failure of the U.S. Congress to repeal the Affordable Care Act (ACA) at the end of the 2017 fiscal year, the act was safe from another repeal effort under this Congress. While the names in the Senate may remain the same, the effective plan may have now changed. Former Centers for Medicare & Medicaid Services (CMS) Administrator Andy Slavitt has described this as “synthetic repeal.”

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Set Up Your Operations Teams for Success in 2018

Julie Billman

I fly often, and it gives me comfort knowing my pilot completes a pre-flight checklist. I often see …

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Off-Cycle MOC Submissions – Is It Time?

Anita McCreavy

Remember, your plan must be operating from an approved Model of Care (MOC). The off-cycle submission process allows …

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The 2019 Application – Key Dates

Regan Pennypacker

As a follow up to my last article on the Notice of Intent to Apply, I give you …

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2018 Star Ratings Offer Valuable Insight into Competitive MA Industry

Melissa Smith

The Centers for Medicare & Medicaid Services (CMS) release yesterday of the 2018 Star Ratings offers valuable insights …

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Rejected Claims Review–You Gotta Do It!

Debra Devereaux

The question arises from almost every client, “Why do we have to do daily rejected claims review?” The …

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Beyond Obamacare: Congress Takes on Many Medicare Bills

Olga Walther

Congress moved beyond considering the Affordable Care Act (ACA). From potential changes to the Medicare Advantage (MA) program …

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