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Nov 21, 20234 min read
CMS 4205-P Proposed Rule: Top Five Takeaways
On November 15, 2023, CMS issued a proposed rule that proposes revisions to regulations governing Medicare Advantage (MA or Part C), the...
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Sep 1, 20231 min read
Social Determinants of Health and the Updated D-SNP Health Risk Assessment Requirements
Beginning in contract year 2024, there will be CMS changes mandated to Special Needs Plans (SNPs) Health Risk Assessments (HRAs) to...
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Dec 1, 20221 min read
How Medicare Advantage Plans Will or Will Not Succeed, With Betsy Seals
Here’s a big thing that Betsy Seals makes clear in this show: Big companies can be successful in Medicare Advantage (MA)—and I mean...
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Aug 9, 20222 min read
SNP MOC Audit Readiness: Is your team prepared?
CMS Program Audits are in full swing this summer, but are you truly prepared? If you are a Special Needs Plan (SNP) and you are not quite...
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