Explore how leading Medicare Advantage plans like SCAN Health Plan and Kaiser Permanente boost member engagement through coordinated home-based care, care management, and addressing social determinants of health.
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CMS proposes significant updates to Medicare Advantage and Part D programs for 2027, including Star Ratings revisions and increased quality bonuses, impacting Medicare spending and compliance.
Comprehensive 2025 year-end financial planning guide covering tax law changes under OBBBA, retirement savings strategies, rising health care costs, Medicare premium updates, and insurance market shifts to optimize tax benefits and manage risks.
CMS releases proposed rule for CY2027 Medicare Advantage and Part D programs with key changes to Part D redesign, Star Ratings, special enrollments, and marketing compliance. Regulatory updates impact plan operations, quality metrics, and data access.
Mindpath Care Centers settles $1.9 million Medicare false claims case involving behavioral health psychotherapy billing violations. Impact on compliance and regulatory enforcement.
CCGroup selected by a Medicare ACO to develop a Specialist Golden Referral Network, leveraging data analytics to improve specialist efficiency and reduce elective procedure variation.
Cave Consulting Group partners with a multi-state Medicare ACO to implement a Specialist Golden Referral Network aimed at reducing elective procedure variation and improving care quality through specialist efficiency analytics.
Mohammed Asif sentenced to two years federal prison for Medicare fraud exceeding $1 million, involving false COVID-19 test claims in Washington State. Restitution ordered and ongoing investigations for additional fraud participants.
CMS proposes to cancel the rule requiring Medicare Advantage plans to notify beneficiaries of unused supplemental benefits amid low utilization and administrative challenges.
