The Biggest Bang for Your Part C Stars Buck

In October 2017, CMS released its Medicare Stars 2018 results. In that release, only one health plan increased its Part C Stars overall score by a whopping 1.5 stars from…
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Thinking of playing in the 2019 Medicare Advantage sandbox

Ah, autumn. The rustle of falling leaves, glowing Jack-o-’lanterns on front porches, and pondering whether to join the Medicare Advantage fray. One can ponder the possibility for a few more…
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Keeping a Pulse on potential CMS Risks

CMS requires Medicare Advantage Plans, Medicare-Medicaid Plans, and stand-alone Prescription Drug Plan sponsors to implement an effective compliance program to foster a culture of transparency and compliance.
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No more HSD tables?

CMS Five Star Rating…do we dare say those words? Each year there are teams of associates and executives across health plans evaluating measures and outcomes, eagerly holding their breath while…
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Call Center performance can boost your CMS Star Rating

CMS Five Star Rating…do we dare say those words? Each year there are teams of associates and executives across health plans evaluating measures and outcomes, eagerly holding their breath while…
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Medicare Compliance Solutions

The Timeliness Monitoring Universes Have Been Submitted. Now what?

As of early May, CMS had completed the last round of data-gathering for the 2017 Timeliness Monitoring Project (TMP). Virtually every Sponsor was required to submit data ...
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December 2017
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