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.
Tag: Provider Networks
CMS Network Adequacy Changes & the Impact to Medicare Advantage Plans
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.
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…
High Performance Health Plan Networks
A Milliman report commissioned by AHIP finds that narrower, high value provider networks can help…
What Sequestration Could Mean to Medicare Advantage Claims Payment
Last Friday CMS’s Medicare Learning Network released some details on how the sequester will impact…
New CMS HSD Guidance Issued – What’s New?
In case you haven’t studied the recent CMS HSD Guidance memo, let me save you…