Firm News

Important Updates for CMS Calendar Year 2025 Evidence of Coverage (EOC) Models

On December 10, 2024 / Firm News

On November 5, CMS updated URLs in the following CY 2025 EOC models: CY2025_1_HMO_MAPD_ISNP_CSNP_EOC_Correcting URLs_11042024 CY2025_2_PPO_MAPD_ISNP_CSNP_EOC_Correcting URLs_11042024 CY2025_3_DE_SNP_EOC_Correcting URLs_11042024 CY2025_4_Cost_Plan_EOC_Correcting URLs_11042024 CY2025_5_PFFS_EOC_Correcting URLs_11042024 CY2025_6_MSA_EOC_Correcting URLs_11042024 CY2025_7_HMO_MA_EOC_Correcting URLs_11042024 CY2025_8_PPO_MA_EOC_Correcting URLs_11042024 CY2025_9_PDP_EOC_Correcting URLs_11042024 The URLs required replacement due to an error in links of the previous models. For example,

RADAR on Medicare Advantage | CMS’s $40B GLP-1 Proposal Offers Leeway for Part D Plans to Define Obesity

On December 6, 2024 / Compliance, Firm News, Medicare Advantage, Risk Adjustment, Star Ratings

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

RADAR on Medicare Advantage | Biden Admin Seeks Broader Review of Marketing Materials, But Will Trump Admin See Overreach?

On December 6, 2024 / Compliance, Firm News, Media Coverage, Medicare Advantage

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

RADAR on Medicare Advantage | CMS Rule Seeks to More Clearly Define Internal Coverage Criteria, AI-Driven Tools

On December 6, 2024 / Compliance, Firm News, Media Coverage, Medicare Advantage

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

Justin Murakami, JD, CHC, Joins ATTAC Consulting as Sr. Consultant for Compliance Solutions

On December 4, 2024 / Firm News

Justin Murakami, JD, CHC, is a highly accomplished healthcare compliance expert with more than 14 years of experience with Medicaid, Medicare, commercial health plans and provider organizations, specializing in California’s complex regulatory landscape. He is known for his leadership in regulatory audits, compliance program development, and risk

Jennifer Eidam Joins ATTAC Consulting Group as VP, Business Development

On October 31, 2024 / Firm News

Jennifer Eidam is a seasoned sales professional with extensive experience in healthcare, SaaS, and pharmaceutical industries. In her years of working with payers, she has demonstrated exceptional leadership and business development skills. In her role with ATTAC Consulting Group, Jennifer provides tailored, strategic guidance to clients, helping

Kenneth (Kenny) McNeal Joins ATTAC Consulting Group as SVP and Chief Revenue Officer

On September 30, 2024 / Firm News

Healthcare Industry Leader Brings Decades of Expertise in Healthcare Payer Solutions and Strategic Growth ANN ARBOR, MI (Sept. 30, 2024) – ATTAC Consulting Group announced today that Kenneth McNeal has joined the firm as an SVP and Chief Revenue Officer. ATTAC is a national healthcare consulting firm that

RADAR on Medicare Advantage | As ‘Focused Audits’ Get Underway, Plans May Struggle to Meet UM Conditions

On April 4, 2024 / Compliance, Firm News, Media Coverage

Reprinted with AIS Health permission from the 4/4/24 issue of Radar on Medicare Advantage Thanks to a final rule published just one year ago, Medicare Advantage plans as of Jan. 1 were expected to meet new constraints when it comes to applying their utilization management (UM) policies, including

Dr. Michael Chapman, DO, MHCM, MS, FACOEP, Joins ATTAC Consulting as Clinical Advisor

On March 21, 2024 / Compliance, Firm News, Medicare Advantage

Dr. Michael Chapman, DO, MHCM, MS, FACOEP, is a Clinical Advisor at ATTAC Consulting Group. He is board-certified in emergency medicine, with more than a decade of clinical experience. Dr. Chapman has served as Medical Director for a health plan with more than a million members in commercial,

Kevin Barbee Joins ATTAC Consulting Group as SVP for Business Transformation

On February 12, 2024 / Business Transformation, Firm News

Barbee has served as a strategic advisor and thought leader for premier national insurers, health plans and provider organizations [Ann Arbor, MI – February 12, 2024] – ATTAC Consulting Group announced today that Kevin Barbee has joined the firm as Senior Vice President for its Business Transformation