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.
Strategies to Support Value-Based Reimbursement During Uncertain Times
Amidst uncertainty, risk-bearing providers and ACOs must be nimble and adaptable to mitigate losses. What strategies can be deployed to support value-based financial and clinical goals?
MA Plans Should Pivot Due to COVID, Election Impact This Fall
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.
On Demand Webinar: Four Lessons Learned from the 2020 AEP Results
In a recent webinar presented with Deft Research, GHG shared the key lessons learned from the 2020 AEP results. Read a synopsis of what these lessons entail and watch the webinar recording on demand.
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.
On Demand Webinar: Four Trends in Supplemental Benefits for 2021 Success
In a recent webinar, GHG shared the critical trends in supplemental benefits from the AEP results data that health plans need to know going into 2021 bids. Read a summary of the key takeaways and view the webinar recording on demand.
