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Medicare Advantage Updates

Medicare Advantage Enrollment Update – April 2018

Learn about the top organizations, biggest enrollment changes, and year-over-year growth

Quality

New HEDIS Measure Strengthens Alcohol Screening and Follow Up

The Unhealthy Alcohol Use Screening and Follow-Up (ASF) measure is part of HEDIS 2018

Risk Adjustment

CMS to Release Medicare Advantage Encounter Data

CMS has collected data from Medicare Advantage plans since 2012 and began using it in 2016 to help calculate risk-adjustment payments, and it is now planning to make this data public. How can help plans leverage this data to improve their programs?

Quality

3 Steps to Closing HEDIS Gaps Early

In April, health plans are in the middle of HEDIS submission for 2017. Understandably, the process requires intense focus on the past year. Yet 2018 is underway, so members are already showing patterns of complying or not complying with care for the current year.

Risk Adjustment

Still struggling with Encounter Data Errors? Read this

The path to Encounter submissions is not an easy one. Learn what you can do to correct errors, better reconcile RAPS/EDPS, and allocate resources for a successful submission.

Medicare Advantage Updates

Medicare Advantage Enrollment Update – March 2018

Learn about the top organizations, biggest enrollment changes, and year-over-year growth

Risk Adjustment

Medicare HCC Prevalence by Specialty

Increase success rates of your programs. Discover which specialists are diagnosing which HCC codes with this interactive dashboard

Risk Adjustment

CMS Final Call Letter 2019

CMS Just Published the Announcement of Calendar Year (CY) 2019 Medicare Advantage Capitation Rates and Medicare Advantage and Part D Payment Policies and Final Call Letter

Medicare Advantage Updates

Medicare Advantage Enrollment Update – February 2018

Learn about the top organizations, biggest enrollment changes, and year-over-year growth

Risk Adjustment

Three Questions to Ask Before Signing a New Coding Vendor

When someone drops the ball, it’s time to find a new coding vendor — but how do you minimize risk? These are the three questions you should be asking your (potential) coding vendors.

Risk Adjustment

CMS Advanced Notice Part II

The CMS Advanced Notice Part II was released

Risk Adjustment

CMS Extends 2016 DOS Deadline for RAPS Submissions

A Three-Month Window Is Now Open to Ensure Your Health Plan Captures All HCC Value

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