In the fall, plans will be challenged by the double whammy of a presidential election and a predicted second outbreak of COVID-19. This AIS Health article in Health Plan Weekly shares some insights from a recent GHG/Deft Research webinar and the product strategy implications of a changed selling environment.
CMS Releases Interim Final Rule for COVID-19 Regulatory Changes
On March 30, 2020, CMS released the interim final rule with comment period (IFC) to address a variety of payment and provider practice needs in response to the COVID-19 pandemic. Read the key takeaways for Star Ratings, Provider Flexibilities, and Telehealth.
What’s New in the 2021 Final Rate Announcement for Medicare Advantage and Part D Plans?
The 2021 Medicare Advantage and Part D Rate Announcement finalizes the payment methodology and policies previously proposed by the Advance Notice. What’s been confirmed? Read this article for details.
GHG Responds to Common Questions About CMS’ Proposed Star Ratings Changes
On March 30, 2020, CMS announced temporary regulatory waivers and new rules to help the U.S. healthcare system continue operating through President Trump’s COVID-19 emergency declaration. With this new information, GHG’s Star Ratings expert, Melissa Smith, answers many of the FAQs we’ve received over the last few weeks.
COVID-19 Star Ratings Changes: What Do We Know? What Remains Unknown?
CMS has announced significant temporary changes to Star Ratings in response to the COVID-19 pandemic to provide some relief to healthcare organizations, but we still have many unanswered questions. Here’s what we know so far.
What Plans Can Do Despite Uncertainty Surrounding Star Ratings & COVID-19
Right now, the industry is wrought with uncertainty and awaiting specific rulemaking from CMS in regard to the Star Ratings program. Read more for our suggestions on what clients can, and should, be doing from a Stars perspective in the midst of the COVID-19 crisis.
MA, Part D Plans Face Uncertainty as Audit Season Begins
MA, Medicare-Medicaid Plan and Part D sponsors selected for 2020 program audits will start receiving engagement letters this month, but they face some uncertainty as CMS has yet to finalize a set of proposed changes unveiled last August.
Proposed MA Rule Floats Many Star Ratings Changes — Can Plans Keep Up?
GHG’s Senior Vice President of Stars & Strategy, Melissa Smith, talks crucial Star Ratings implications from the CMS 2021 and 2022 MA and Part D Proposed Rule in a recent AIS Health article in RADAR on Medicare Advantage.
What You Should Know: CMS 2021 Advance Notice & New 2021 & 2022 Proposed Rule
CMS has published key information regarding 2021 MA Part C & D bids, payments and rules in a series of documents released 2/5/2020. Here’s what you should know.
Big Changes Coming to Star Ratings in CMS’ Part 2 Advance Notice & Proposed Rule
CMS has proposed numerous changes to the Star Ratings program in Part 2 of the Advance Notice and the 2021 and 2022 MA and Part D Proposed Rule. Read the key takeaways.