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In April, when CMS released the 2020 Medicare Advantage Rate Notice and Final Call Letter and confirmed the Alternative Payment Condition Count model for 2020 CY, some changes were included in their original proposals, while others came as a surprise to health plans. As you look to evaluate your technology, analytics, processes, and solutions, here are 4 things you should know.

After payment model changes are applied, risk scores are likely to decline without supplement. We review the changes to see precisely what the new HCCs and updated normalization factor will do to RAF.

It’s time to limber up so you don’t get lost in the upcoming HCC model melee. On April 1st, CMS released the 2020 final call letter, confirming what models will be used moving forward and deciding the direction of MA for the immediate future. Read how to best prepare for the changes.

NCQA issued important changes in order to increase the consistency and reliability of HEDIS data submissions. The new requirements will change HEDIS reporting for all health plans, but could be significantly more time consuming and costly for some. Here's what you need to know.

When it comes to creating a care gap closure program, there’s no one-size-fits-all approach. A wide range of strategies and tactics can help, but by looking at your data, using predictive analytics, and creating personalized campaigns, it is possible to close care gaps before 2020.