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?
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.
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?
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.
CMS has announced significant temporary changes to Star Ratings in response to the COVID-19 pandemic to provide some relief to healthcare organizations, but we still have many unanswered questions. Here’s what we know so far.
CMS recently broadened access and greatly relaxed regulations around telehealth services for Medicare beneficiaries. What does this mean for Medicare Advantage plans and providers?
GHG’s Senior Vice President of Stars & Strategy, Melissa Smith, talks crucial Star Ratings implications from the CMS 2021 and 2022 MA and Part D Proposed Rule in a recent AIS Health article in RADAR on Medicare Advantage.
With bid submissions on the horizon, CMS’ recently announced Advance Notice and Proposed Rule should be top of mind for product strategy leaders. Read our key takeaways.
CMS has published key information regarding 2021 MA Part C & D bids, payments and rules in a series of documents released 2/5/2020. Here’s what you should know.
I worked in government for a very long time, but when I went back to…