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Work

Ensuring Equity and Fairness in Medicare Advantage Quality Measurement

Current Health Outcomes Survey (HOS) questions and administration processes do not reflect an equitable and fair approach to Medicare Advantage (MA) quality measurement. We highlight opportunities to improve the HOS for equitable quality measurement within the MA population, with a focus on Special Needs Plans (SNPs).
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News

What The Inflation Reduction Act’s Reforms To Medicare Part D Mean For Prescription Drug Prices

Anna Kaltenboeck recently penned a Health Affairs article that explains how the Inflation Reduction Act will affect Medicare Part D and prescription drug pricing.
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News

More MA insurer audits mean more scrutiny on providers

Fred Bentley quoted in Modern Healthcare about considerations for providers with increased Medicare Advantage audits coming.
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News

CMS Proposal Marks Shift After Years of Skilled Nursing Frustration with Medicare Advantage Diversions

Fred Bentley talks to Skilled Nursing News transitions in care regarding skilled nursing and Medicare Advantage.
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News

World’s Most Expensive Drug Revives Push for New Payment Models

Anna Kaltenboeck speaks with Bloomberg Law about the Centers for Medicare & Medicaid Services' role in aggregating data regarding payment models as innovative drugs reach the market.
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Insights

Proposed Changes to Medicare Advantage Utilization Management

On December 14, 2022, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule containing a number of significant policy and technical changes to the Medicare Advantage (MA) and Part D programs for 2024.
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News

MA plans offering in-home support services increases 32% in 2023

Tyler Overstreet Cromer talks to McKnight's Home Care about the in-home support services for Medicare Advantage beneficiaries.
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