2019 Draft Call Letter Released

Part C and D Annual Calendar Combined calendar listing of key dates and timelines for Operational Activities that pertain to Medicare Advantage (MA), Medicare Advantage- Prescription Drug) (MA-PD), Prescription Drug…
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How happy are your Medicare members with you?

The Medicare Open Enrollment season has passed, you renewed your members, and if you had a good year, you gained new members as well. Their cards have been mailed and…
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We knew greater CMS scrutiny of provider networks was coming

...and we now have our first glimpse of what that will look like. In an HPMS memo date January 10, CMS confirmed that the OMB (Office of Management and Budget)…
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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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February 2018
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