Webinar Replay | Value-based Care is a Team Sport: How Providers Can Operationalize Risk Adjustment Initiatives

Webinar Replay | Value-based Care is a Team Sport: How Providers Can Operationalize Risk Adjustment Initiatives

An insightful webinar exploring the power of collaboration between providers and health plans to achieve accurate risk-adjusted compensation. While providers and health plans may have different perspectives, there are numerous synergies and opportunities to use data analytics and drive value for patients. We delve into how providers

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Free Webinar | Value-based Care is a Team Sport: How Providers Can Operationalize Risk Adjustment Initiatives

Free Webinar | Value-based Care is a Team Sport: How Providers Can Operationalize Risk Adjustment Initiatives

Join us for an insightful webinar exploring the power of collaboration between providers and health plans to achieve accurate risk-adjusted compensation. While providers and health plans may have different perspectives, there are numerous synergies and opportunities to use data analytics and drive value for patients. We’ll delve

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RADAR on Medicare Advantage | Medicare Advantage Experts Point to Member Experience, Provider Contracting as Worthy Investments

RADAR on Medicare Advantage | Medicare Advantage Experts Point to Member Experience, Provider Contracting as Worthy Investments

Reprinted with AIS Health permission from the 2/1/24 issue of Radar on Medicare Advantage 2024 Medicare Advantage Trends For our annual series of outlook stories on the year ahead in Medicare Advantage, AIS Health, a division of MMIT, asked multiple experts what they view as MA organizations’ “keys

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Medicare Advantage Initial or Service Area Expansion Application: Finalize CY 2024 and Prepare for CY 2025 

Per the CY 2023 Final Rule published on May 9, 2022, CMS requires applicants to demonstrate a sufficient network of contracted providers to care for beneficiaries before approving their application. Additionally, for CY 2024, CMS adopted regulations explicitly stating that applications may be denied if network adequacy

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How to Prepare Your Medicare Advantage Initial or Service Area Expansion Application for CY 2024 & Beyond

CMS requires applicants to demonstrate they have a sufficient network of contracted providers before an initial or service-area expansion application is approved. In addition, for CY 2024, CMS will adopt regulations explicitly permitting it to deny applications based on an applicant’s failure to meet network adequacy criteria. Plans

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