2020 Star Ratings Spotlight

CMS’ release last week of the 2020 Star Ratings gives us our first glimpse into the most recent performance data for Medicare Advantage plans across the nation.  The 2020 Star Ratings show…

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2020 Readiness Checklist

On October 3, 2019 the Centers for Medicare & Medicaid Services (CMS) released the 2020 Readiness Checklist highlighting critical operational and contractual requirements for Medicare Advantage Organizations (MAOs), Prescription Drug Plans (PDPs),…

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Blending Network Strategy & Product Strategy

As more and more health systems and provider organizations successfully manage the shift from volume-based patient care to value-based population health management, health plan strategic planning should be blending network strategy with…

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Three Ways to Retain Your Members for 2020

It’s the Annual Election Period (AEP) and now is a really difficult time to turn your thoughts away from what’s right in front of you, but a strong retention program can be…

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