Evolution Through Strategy: Pinpointing Growth Opportunities

Nancy Djordjevic

My last article explained the choice of Medicare Advantage (MA) health plans to evolve or disappear. Evolution is certainly the preferable choice, so let’s examine the steps needed to do so.

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New Challenges in Network Development

Elena Martin

The sun is shining, kids are heading back to school, and fall will be here before we know …

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CMS Announces Expansion of the Medicare Advantage Value-Based Insurance Design Model

Jean LeMasurier

The Centers for Medicare & Medicaid Services (CMS) announced plans to expand the Medicare Advantage (MA) Value-Based Insurance …

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Lessons on the Audit Front

Caron Wingerchuk

The regulatory scrutiny continues. The Centers for Medicare & Medicaid Services (CMS) 2016 Compliance and Program Audits are …

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Evolution or Extinction

Nancy Djordjevic

“The Theory of Evolution has two main points,” said Brian Richmond, curator of human origins at the American …

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First Plan Preview of 2017 Star Ratings Data

Melissa Smith

It’s official ‒ the Star Ratings busy season is officially underway. The Centers for Medicare & Medicaid Services …

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Medicare Advantage Pays Hospitals Less than Medicare

Jean LeMasurier

Researchers at Stanford University conducted a study of hospital payments by Medicare Advantage (MA) plans, Fee-for-Service (FFS) Medicare, …

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