Health Plan Weekly |Behavioral Health Network Issues Lead to $4.6M Fine for Molina

RADAR on Medicare Advantage| New CMS Bulletin Could Mean Greater Oversight of Medicaid Network Adequacy

New HPMS Memo: Transfer of Submitted Multi-Plan Marketing Materials

CMS Releases First-Ever Home- and Community-Based Services Quality Measure Set 

CMS Seeks Input From Public About Various Aspects of Medicare Advantage

CMS Updates: Parts C & D Enrollee Grievances, Organization/Coverage Determinations and Appeals Guidance Effective August 3, 2022

It’s Time to Review Your Risk Adjustment Vendor Contracts

CMS Announces Race and Ethnicity Data Changes Required For Medicare Advantage and Part D plans

Increased Medicare Beneficiary Complaints About Third-party Marketing Leads to New Requirements For Agent/Broker Training & Testing Guidelines

CY 2023 Medicare Advantage and Part D Marketing and Communications Final Rule and Impact to Medicare Advantage Dual Eligible Special Needs Plans

ATTAC Consulting Group Welcomes Aaron Eaton as Senior Vice President for Corporate Strategy and Product Development

Overpayment Rule Stands: Review Your Plan’s Processes and Procedures Now to Avoid False Claims Act Liability

Timeliness Monitoring Project – CY 2022 Part C Data for 2024 Star Ratings

Take These Four Steps For a Successful Provider Engagement Strategy That Drives Value-based Reimbursement

New Rules: Medicare Advantage Plans Completing Applications for New Markets or Service Areas Must Build-out Provider Networks at the Same Time

Top Ten Steps for Exclusion Monitoring Compliance

Provider Access & Availability Surveys: Is Your Plan Meeting Access to Care and Appointment Availability Requirements?

 

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