Medicare Advantage Rate Proposal: What Insurers Need to Know
Explore proposed Medicare Advantage rate adjustments and risk calculation changes impacting insurers' senior care benefits and coverage. Learn more today.
Kaiser Permanente's $556 Million Settlement: Medicare Advantage Compliance Failures
Kaiser Permanente's $556 million settlement highlights Medicare Advantage compliance failures and risks associated with inaccurate diagnosis coding. Stay informed!
New Proposed Regulations for Medicare Advantage Modernization
Discover the new CMS proposed regulations for Medicare Advantage and Part D aimed at modernization by 2027, impacting quality measures and beneficiary protections.
2027 Medicare Advantage and Part D Proposed Rule: CMS Modernizes Quality Metrics and Risk Adjustment
CMS 2027 Proposed Rule aims to modernize Medicare Advantage and Part D programs with updates to quality metrics, risk adjustment models, and beneficiary protections. Key changes include Star Ratings revisions, incorporation of Inflation Reduction Act drug pricing provisions, and requests for stakeholder feedback on quality bonus payments and care coordination.
Enhancing Payer-Provider Collaboration to Advance Value-Based Care Implementation
Explore strategies for payers to enhance collaboration with providers in value-based care through real-time data, EHR integration, and aligned incentives to improve patient outcomes and reduce healthcare costs.
CMS Proposes 2027 Medicare Advantage and Part D Regulatory Updates and Data Use Changes
CMS issues proposed 2027 updates to Medicare Advantage, Part D, risk adjustment, and reporting rules, seeking stakeholder input on quality measures and program improvements.
CMS Proposes Major 2027 Medicare Advantage and Part D Updates Following Inflation Reduction Act
CMS's 2027 proposed rule outlines key Medicare Advantage and Part D program updates, codifying Inflation Reduction Act changes, adjusting Star Ratings, and modernizing marketing and risk adjustment frameworks.
CMS Proposes Major 2027 Medicare Advantage and Part D Program Reforms
CMS proposes extensive changes to the 2027 Medicare Advantage and Part D programs, including benefit design reforms, new enrollment rules, marketing policy updates, and modifications to quality ratings and special needs plans.
KFF Analysis Highlights Medicare Advantage Diagnosis Additions Impacting CMS Payments
KFF analysis of 2022 Medicare Advantage data shows 17% had diagnosis additions increasing CMS payments, with minimal diagnosis deletions impacting risk adjustments.
CMS Proposed 2027 Medicare Advantage and Part D Changes Focus on Simplification and Oversight
CMS releases Proposed 2027 Rules for Medicare Advantage and Part D, emphasizing Star Ratings simplification, marketing oversight updates, expanded risk adjustment data use, and Part D redesign implementation.