With year-end initiatives, open enrollment periods and holidays, there is a flurry of activity in the fourth quarter. Now is the time to apply best practices and lessons learned in 2022 in order to position your risk adjustment plan for 2023 success. For sustained and compliant risk
Read More →As required by CMS, each state is developing its plans for the 12-month unwinding period in anticipation of the end of the public health emergency (PHE). On October 13, 2022, the U.S Department of Health and Human Services announced renewal of the PHE, extending it an additional
Read More →Medicare Advantage is likely to make up more than half of total Medicare enrollment in 2023 as open enrollment gears up this week. As enrollment surges, plans are facing increased scrutiny over risk adjustment practices, with regulators turning up the heat on payments in the program. Plus,
Read More →After observing a high volume of marketing-related complaints that the federal government believes are driven by the actions of third-party marketing organizations (TPMOs), CMS this month is implementing several new requirements aimed at protecting Medicare beneficiaries as they compare coverage options during the 2023 Annual Election Period
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