Charles Baker, VP, Compliance Solutions | Victoria Nadzam, MSN, RN, Sr. Consultant On January 22, 2025, the Department of Health and Human Services was instructed to pause non-essential public communications and website updates. Though framed as a temporary, precautionary measure, this pause has real-world ripple effects on
Read More →Listen along for a wide-ranging conversation on the Health Elevated podcast. The discussion covers aspects of the healthcare system, including operations, process improvement, financial management, and the role of data science in healthcare innovation. The conversation explores who holds responsibility within the healthcare system—providers, payers, or patients
Read More →Regulatory Freeze: How Medicare Advantage Plans Can Balance Challenges with Opportunities for Growth
Charles Baker, VP, Compliance Solutions President Trump’s executive order to freeze federal regulations has left the healthcare industry, particularly the Medicare Advantage (MA) program, in a state of uncertainty. The freeze, which is intended to align current and proposed rules with the administration’s priority of “reducing the
Read More →December 5, 2024 issue of RADAR on Medicare Advantage Acknowledging the growing prevalence of obesity in the U.S. and its existence as a chronic disease, CMS in its proposed Medicare Advantage and Part D rule for the 2026 contract year included a landmark provision to expand Medicare
Read More →Dec 05, 2024 issue of RADAR on Medicare Advantage While the Joe Biden administration has applied many regulatory tweaks to the Medicare Advantage program in the name of improving the consumer experience, industry observers expect the incoming Donald Trump administration will take a more plan-friendly approach from
Read More →December 5, 2024 issue of RADAR on Medicare Advantage Multiple industry experts say the current administration’s last major Medicare Advantage and Part D rulemaking attempt was largely “business as usual,” with CMS expanding on policies of the Joe Biden presidency and digging further into persistent issues like
Read More →Charles Baker, VP, Compliance Solutions | Victoria Nadzam, MSN, RN CMS has announced significant revisions to Medicare Advantage Part C and Prescription Drug plans. These changes, related to enrollee grievances, organization/coverage determinations, and appeals guidance, will take effect on January 1, 2025 and will affect plans nationwide.
Read More →Victoria Nadzam, MSN, RN, is an accomplished healthcare professional with expertise in clinical operations management, process and performance improvement, and accreditation and regulatory compliance. She has a proven track record of driving compliance with NCQA standards and optimizing healthcare delivery across diverse sectors, including Medicare, commercial ACA,
Read More →ATTAC and mPulse co-presented this comprehensive webinar and discussion that aims to empower attendees to: Debunk myths related to the TCPA, consent, and the healthcare exemption Get the background on the TCPA’s purpose, history, terminology, and requirements Understand existing and recent TCPA litigation related to the healthcare
Read More →Charles Baker, VP, Compliance Solutions On July 3, 2024, the U.S. District Court for the Northern District of Texas issued a preliminary injunction, halting the implementation of certain provisions within the CMS Final Rule for Contract Year 2025. This rule aimed to overhaul the compensation arrangements between
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