Advance Notice Update – Risk Adjustment

Jessica Smith

Now that Part II of the Advanced Notice and Call Letter has been released, we are able to get a full view of the proposed policy changes to pave the way for the future. For risk adjustment, the release of Part II did not contain any surprise policy changes. The crux of risk adjustment changes were included in the Part I release. Preliminary industry impacts of the Part I release are outlined in one of my prior blogs at the following link: https://www.gormanhealthgroup.com/blog/the-ever-growing-complexity-of-risk-score-calculation-proposed-changes-for-2019-payment-year/.

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House Passes Spending Bill That Includes Many Medicare Advantage Policies; Senate Announces Two-Year Budget Deal

Olga Walther

On Tuesday, the House passed a bill that would fund the government through March 23, 2018. Meanwhile, the …

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Data Universes – Friend not Foe

Tina Bailey

Data universes are not new in the Medicare Advantage and Part D space. The Centers for Medicare & …

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CMS Reports Medicare Advantage Provider Directories Continue to be Plagued with Inaccuracies

Elena Martin

The Centers for Medicare & Medicaid Services (CMS) issued its Round Two online provider directory review, and the …

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Advance Notice Update: Star Ratings

Melissa Smith

With the much anticipated Advance Notice now in hand, we have our first glimpse into the Centers for …

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CMS Releases Part II of the Medicare Advantage Advance Notice & Draft Call Letter

Olga Walther

On February 1, 2018, the Centers for Medicare & Medicaid Services (CMS) released its 2019 Advance Rate Notice (Part …

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President Trump’s Remarks on Healthcare in the State of the Union

Olga Walther

Though he was largely expected to step away from remarks on healthcare in his State of the Union …

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