CMS recently surprised plans with the early release of Part II of the CY2022 Advance Notice, with several updates impacting Star Ratings. GHG’s Jessica Assefa summarizes the noteworthy changes here.
Impacts of CMS’ 2022 Advance Notice Part I on Risk Adjustment
CMS recently released the 2022 Advance Notice Part 1, with a heavy emphasis on the shift from RAPS to EDS to calculate risk scores. Here’s what you should know.
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.
2021 Star Ratings Second Plan Preview
The 2021 Star Ratings Second Plan Preview has officially been released. GHG’s Melissa Smith discusses the impacts to health plans and the ways in which MA plans can prepare.
DOJ’s Increased Focus on Risk Adjustment and Compliance
As the DOJ continues its efforts to investigate the diagnosis capture and reporting practices of MAOs, MAO executives must proactively evaluate their own risk adjustment programs.
2021 Chapter 2 Enrollment Changes
CMS recently released the 2021 Chapter 2 Enrollment Changes. GHG’s VP of Sales, Marketing & Strategy, Diane Hollie, summarizes the key changes here.
How Will Utilization Change After COVID-19?
For healthcare systems that operate in a fee-for-service model, drops in utilization have resulted in significant financial strain and created even more uncertainty amidst the pandemic. How can healthcare systems plan for the future?
