Risk Adjustment
- Five Steps Managed Care Orgs Can Take Now to Improve Member Engagement
- How MCOs Can Optimize In-Home Health Assessment Programs: What You Need to Know for the Second Half of 2024
- Expanded Telehealth Access: Powerful Medicare Rule Changes Impact Access, Health Equity and Risk Scores
- Webinar Replay | Value-based Care is a Team Sport: How Providers Can Operationalize Risk Adjustment Initiatives
- Breaking Barriers, Bridging Gaps: Collaborative Solutions for Improving Behavioral Health Access and Documentation
- Medicare Advantage Risk Adjustment Methodology: CMS Makes Significant Changes to Behavioral Health HCCs
- Case Management’s Hidden Role: A Catalyst for Successful Risk Adjustment
- Harnessing the Power of Data: Integrating HEDIS, Risk Adjustment and Social Determinants of Health for Effective Population Health
- Closing the Gap: Strategies to Advance Health Equity and Reduce Health Disparities
- [Webinar Replay] How Providers and Health Plans Can Collaborate to Maximize Revenue and Quality
- The Dynamic Duo: Understanding the Link Between Risk Adjustment and Quality Measurement
- The Future of Risk Adjustment: Incorporating Social Determinants of Health with the Use of Z Codes
- Six Ways Your Plan Can Use Case Management For a Transformative Impact on Risk Score Accuracy and Overall Health of Enrollees
- Unlocking Efficiency: Five Ways Monitoring Average Retrieval and Coded Chart Rates Boosts Your Chart Review Program
- No-cost Risk Adjustment Summary Assessment For Health Plans | Reduce the Risk, Cost & Aggravation of an OIG Audit
- How to Achieve a High-Performing Risk Adjustment Member Engagement Strategy: 4 Steps to Take Now
- Maximizing Risk Adjustment Success in the Second Half of 2023
- OIG’s Expanded Oversight of Medicare Advantage Risk Adjustment: Implications for Managed Care Organizations
- 8 Best Practices for In-Home Assessments: How to Ensure Quality Patient Care & Compliance with Medicare Regulations
- Medicare Advantage RADV Final Rule Changes: With an Expected Audit Recovery of Nearly $5B in Next 10 Years, Will Your Plan Face an Audit?
- Overpayment Rule Stands: Review Your Plan’s Processes and Procedures Now to Avoid False Claims Act Liability
Compliance
- The Roller Coaster Continues: Preliminary Injunction Preserves Field Marketing Organization Compensation Practices For Medicare Advantage and Part D Plans
- Notification of Supplemental Benefits and Data Integrity: How Will CMS 2025 Final Rule Requirements Affect Your Medicare Advantage Plan?
- The Battle For Medicare Advantage Star Ratings: SCAN and Elevance Victories Provide a Roadmap for Plans to Challenge CMS Methodologies
- Deciphering the 2025 Final Rule: CMS Unveils Sweeping Medicare Advantage Changes
- Successful UM-Focused Audits: ATTAC Supports Plan Preparation and Remediation
- RADAR on Medicare Advantage | As ‘Focused Audits’ Get Underway, Plans May Struggle to Meet UM Conditions
- Elevate Your Compliance Training Program: Proven Methods to Measure and Enhance Effectiveness
- Dr. Michael Chapman, DO, MHCM, MS, FACOEP, Joins ATTAC Consulting as Clinical Advisor
- The Aftermath of the Change Healthcare Cyberattack: A Call to Action for Health Plans
- Transforming Dual-eligible Care in California: A Guide to the D-SNP Transition
- RADAR on Medicare Advantage | Risk Scores, Star Ratings Are Catalysts to Watch in Medicare Advantage
- 2025 Medicare Advantage Reforms: A Comprehensive Shift Towards Equity, Transparency and Patient-centered Care
- Dual-Eligible Care Redefined: How to Seize Opportunities in the D-SNP Landscape
- [Webinar Replay] How Providers and Health Plans Can Collaborate to Maximize Revenue and Quality
- Guarding Medicare’s Future: 2025 Proposed Rule to Revolutionize Medicare Advantage Agent and Broker Compensation
- Navigating Utilization Management Criteria Changes: A Call to Action for Compliance Officers
- Navigating the Changing Landscape of Mental Health Parity Compliance: Why Plans Need to Get Ahead of Proposed Rules and Implications
- Navigating Star Ratings in the Aftermath of CMS Plan Preview 2: Actionable Steps for Medicare Advantage Plans in 2023 and Beyond
- Compliance Isn’t Just Compliance Anymore: Three Ways Medicare Advantage Teams Can Shift From Retrospective Oversight & Deliver Strategic Value
- Charles Baker Joins ATTAC Consulting Group as Vice President of Compliance Solutions
- CMS Strengthens Its Commitment to Health Equity With Finalized Enrollment Guidance
- CMS Training for Part D Formulary & Benefit Administration Validation Audits
- CMS 2022 Part C and Part D Program Audit and Enforcement Report
- Medicare-Medicaid Plans to Undergo Performance Measure Validation for 2023 Cycle
- Stay Ahead of Mental Health Parity Audit Risks with Updated Benefit Documents
- Navigating the 2023 CMS Program Audit: Are You Ready?
- Updated Notice of Denial of Medical Coverage / Integrated Denial Notice
- Better Experiences, Better Outcomes: Understanding the Impacts of 2023 Managed Care Final Rule on Special Needs Plans & Members
- Telehealth Fraud, Waste and Abuse: How to Develop a Prevention and Detection Program
Media Coverage
- RADAR on Medicare Advantage | As ‘Focused Audits’ Get Underway, Plans May Struggle to Meet UM Conditions
- RADAR on Medicare Advantage | Medicare Advantage Experts Point to Member Experience, Provider Contracting as Worthy Investments
- RADAR on Medicare Advantage | Risk Scores, Star Ratings Are Catalysts to Watch in Medicare Advantage
- RADAR on Medicare Advantage | Pre-AEP Provider Pushback Offers ‘Reality Check’ For Medicare Advantage Plans
- RADAR on Medicare Advantage | With Final RADV Rule Out, MAOs Are Advised to Clean Up Risk Adjustment Practices
- RADAR on Medicare Advantage | 2023 Outlook: MAOs Mull How to Compete While They Brace for Change, Uncertainty
- RADAR on Medicare Advantage | Sweeping MA, Part D Proposed Rule Touches on Everything From Stars to SNPs
- Radar on Medicare Advantage | New Prior Authorization Rule Aims to Quicken Senior Access to Care
- Fierce Healthcare | Medicare Advantage at Tipping Point: A Preview of 2023 Open Enrollment
- RADAR on Medicare Advantage | New Third-Party Marketing Oversight Duties Have Industry Scrambling Before AEP
- RADAR on Medicare Advantage | New CMS Bulletin Could Mean Greater Oversight of Medicaid Network Adequacy
Provider Network Management
- [Free Webinar] CMS 2025 Final Rule & Proposed Mental Health Parity Rule: Regulatory Changes Providers & Plans Need to Know
- Ensuring Network Adequacy: What Medicare Advantage Plans Need to Know About CMS’s New Rules
- Webinar Replay | Value-based Care is a Team Sport: How Providers Can Operationalize Risk Adjustment Initiatives
- Changes to Medicare Advantage Network Adequacy Requirements for Behavioral Health Services: What You Need to Know
- [Webinar Replay] How Providers and Health Plans Can Collaborate to Maximize Revenue and Quality
- Medicare Advantage Initial or Service Area Expansion Application: Finalize CY 2024 and Prepare for CY 2025
- New Proposed Medicaid Regulations Aim to Enhance Access to Care & Health Equity | Submit Comments by July 3, 2023
- How to Prepare Your Medicare Advantage Initial or Service Area Expansion Application for CY 2024 & Beyond
- 2024 Proposed Rule Changes: Impacts to Medicare Advantage & ACA Provider Directories and Contracting
- Case Study | How ATTAC Helped a Large Multi-state Health Plan Win a Medicaid Bid by Expanding the Plan’s Provider Network
- Provider Access & Availability Surveys: Is Your Plan Meeting Access to Care and Appointment Availability Requirements?
- Take These Four Steps For a Successful Provider Engagement Strategy That Drives Value-based Reimbursement
Business Transformation
- Kevin Barbee Joins ATTAC Consulting Group as SVP for Business Transformation
- Get Ready: 2024 Low-Income “Extra Help” Subsidy Changes
- How to Prepare for Medicaid Redetermination
- New ICD-10 Code Changes Emphasize Social Determinants of Health
- Value-based Insurance Design: Is Your Plan Prepared to Implement Medicare Advantage VBID?
- HHS Introduces Standards for Healthcare Transactions and Electronic Signatures
- Is Your Plan Ready for Medicaid Redetermination?
Data Auditing
