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
Read More →![[Free Webinar] CMS 2025 Final Rule & Proposed Mental Health Parity Rule: Regulatory Changes Providers & Plans Need to Know](https://www.attacconsulting.com/wp-content/uploads/2024/07/CMS-2025-Final-Rule-Proposed-Mental-Health-Parity-Rule--570x172_c.jpg)
REGISTER Join ATTAC as we dive into the CMS 2025 Final Rule and proposed Mental Health Parity rule and how regulatory changes may impact providers and plans. Mental Health Parity | Significant changes will impact provider network operations and reimbursement. Provider Network Requirements | Tightened network adequacy standards
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by Jon Rogers, Sr. Consultant, Risk Adjustment As we move through the second half of 2024, managed care organizations must prioritize member engagement, especially for individuals with chronic conditions. This period presents an opportunity to embrace strategies that encourage essential healthcare visits, such as annual wellness and
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CMS has implemented significant regulatory changes to network adequacy standards that require Medicare Advantage (MA) plans to quickly adapt to ensure compliance. Read on for an overview of the necessary steps plans must take to meet these new requirements. Convert Letters of Intent. Health plans that submitted
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by Jon Rogers, Sr. Consultant, Risk Adjustment As we reach the midpoint of 2024, managed care organizations (MCOs) must take a close look at their In-Home Health Assessment (IHHA) programs, which play a critical role in managing the health of Medicare Advantage and Affordable Care Act populations.
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Charles Baker, VP, Compliance Solutions and Tammy Hall, Senior Consultant, Compliance Solutions Medicare Advantage (MA) plans offering supplemental benefits have reported enrollee underutilization of many of these benefits. Supplemental benefits may include hearing, dental, vision, fitness programs, over-the-counter drugs, transportation for medical appointments, and other services that address
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By Charles Baker, VP, Compliance Solutions In the world of Medicare Advantage, the calculation of Star Ratings is more than a measure of quality – it’s a pivotal marker that can significantly sway federal funding and market competitiveness. Against the backdrop of high financial stakes and rigorous
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by Lynn Kryfke, MSN, RN, Sr. Consultant, Risk Adjustment | Jon Rogers, Sr. Consultant, Risk Adjustment Telehealth has been around for decades, but the COVID-19 pandemic thrust it into the spotlight when patients couldn’t see practitioners in-person. Suddenly, telehealth via video, audio, text, and email became a
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Charles Baker, VP, Compliance Solutions Read in .pdf here The Centers for Medicare & Medicaid Services (CMS) ushered in a new era for the Medicare Advantage Part C and Prescription Drug Benefit programs with the unveiling of the Contract Year 2025 Final Rule. This comprehensive regulatory overhaul
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ATTAC’s Clinical and Compliance Experts Will Help Your Plan Prepare for a UM-Focused Audit We Also Provide Post-Audit Corrective Action and Remediation Support CMS UM-focused audits for Medicare Advantage are here. As part of the 2024 Medicare Advantage and Part D Final Rule, CMS announced that utilization management (UM)-focused
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