As more and more health systems and provider organizations successfully manage the shift from patient…
Provider Relations
Takeaways from the Gorman Health Group 2018 Client Forum
The Gorman Health Group 2018 Client Forum concluded last week in Las Vegas with over 300…
CMS June Network Submission Deadline Fast Approaching
In early February, there was a bit of a scramble when several plans received notices…
CMS Reports Medicare Advantage Provider Directories Continue to be Plagued with Inaccuracies
The Centers for Medicare & Medicaid Services (CMS) issued its Round Two online provider directory…
CMS Releases Part II of the Medicare Advantage Advance Notice & Draft Call Letter
On February 1, 2018, the Centers for Medicare & Medicaid Services (CMS) released its 2019 Advance…
CMS Announces Changes to the Network Review Process for Medicare Advantage Organizations
As anticipated, the Office of Management and Budget (OMB) approved the Centers for Medicare &…
The Outlook for Government-Sponsored Health Programs in 2018
As 2018 and Year 2 of the chaotic Trump Administration kick off, trying to predict…
OMB Approves New Three Year Network Adequacy Review for Medicare Advantage Plans
The Office of Management & Budget (OMB) recently approved a long standing proposal from the…
Provider Network Management New Year’s Resolutions for 2018
Many of you and your teams are in the frantic, end-of-year trenches renegotiating current provider…
Three-Year Network Adequacy Review for Medicare Advantage Plans
If the Centers for Medicare & Medicaid Services (CMS) knocked on your door today, would…