Network Development Season is Upon Us

It’s network development season, and CMS’ recent changes to network adequacy requirements merit taking a closer look at where new MA plans can take root, and where existing plans can further expand their service areas.

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The Value in Shifting to a Value-Based Care Model

The pandemic has shown us that the fee-for-service model was just as fragile as we thought it was. There is now a tremendous sense of urgency to change the way in which care is provided, and making the shift to value-based care may be the key to success.

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Why the OEP is So Important This Year

A global pandemic and Presidential election year have created uncertainty surrounding this year’s AEP. However, there are a few things we know for certain and this year, health plans should be prepared with an intentional OEP strategy.

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HEDIS Measure Changes and Updates

In a year where we find ourselves using the word “unprecedented” far too often, NCQA’s recently released HEDIS updates continue the trend. GHG’s Melissa Smith summarizes the high-impact measure changes in this article.

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