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.
Tag: Medicare Advantage
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.
CMS recently released the 2021 Chapter 2 Enrollment Changes. GHG’s VP of Sales, Marketing & Strategy, Diane Hollie, summarizes the key changes here.
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.
CMS’ recent network adequacy updates will open doors for plans to provide services in counties that would have otherwise proven difficult to meet network adequacy requirements.
On July 7, 2020, CMS distributed a draft addendum to address changes required for Integrated DSNPs for Unified Appeal and Grievance processing in the Parts C & D Enrollee Grievances, Organization/Coverage Determinations, and Appeals Guidance. Noteworthy changes are summarized here.
GHG recently held a virtual roundtable with leaders from Blue Cross and Blue Shield of Louisiana, HPOne, and Senior Market Sales discussing AEP sales strategies during a pandemic and presidential election. Read a synopsis of the topics covered and watch the webinar recording on demand.
In the midst of a viral pandemic and evolving social movements, developing a robust SDOH strategy is more important now than ever before.
With CMS’ release of the Contract Year 2021 Final Rule, MA plans now have some clarity regarding the many Star Ratings proposals made earlier this year.
With MA enrollment soaring, COVID-19 presenting still-developing threats to Medicare, and the Medicare Trust fund approaching insolvency, MedPAC continued emphasizing the need for urgently reforming the MA Quality Bonus Program during its April 2nd public meeting.