Category Archives: by Mary Larson

2017 CMS Call Letter: Implications for MA and PDP plans

With CMS releasing the 2017 Final Rate Announcement for Medicare Advantage (MA) and Part D plan sponsors (PDP), plans must take the next steps to determine how the proposed changes will affect them financially and operationally. Doing so can help plans identify goals and prepare implementation strategies with respect to benefit strategy, operational compliance and […]
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CMS Advance Notice and 2017 Draft Call Letter: Implications for MA and PDP plans

The Centers for Medicare & Medicaid Services (CMS) released its 2017 Advance Notice and Draft Call Letter in February, proposing numerous changes for Medicare Advantage (MA) and Part D plan sponsors. The notice contains both opportunities and challenges that you will need to assess in order to determine how your organization will react. It’s important […]
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Are you there yet? Navigating the journey to integrated risk adjustment and quality programs for your health plan

Embarking on the quest to improve your risk and quality integration may seem daunting, with so many moving parts to consider. The challenge is to know where you’re going and how to get started. The journey to an effective risk-plus-quality strategy is easier to navigate when you employ best practices to increase provider engagement, create […]
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