Industry News and Perspectives From The Rebellis Group Team

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Latest News

Mar 29, 20221 min read

Have you Implemented and Tested the 2022 Audit Protocols?

Now that we are through the gates of AEP/OEP season, it’s time to focus on key upcoming events: Program Audits and Timeliness Monitoring...

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Mar 23, 20223 min read

Part D

Rethinking Formularies

The majority of Medicare Advantage Part D (MAPD) health plans utilize a “template formulary” configured by their PBM (Pharmacy Benefit...

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Mar 14, 20222 min read

Clinical and Quality

Model of Care: Evaluate Your Plan’s Evaluation Process!

Co-Authored by Anita McCreavy It is that time of year when plans evaluate their Quality Improvement Program and Model of Care successes...

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Mar 7, 20221 min read

Rebellis Group is Pleased to Offer a Comprehensive MA and Part D Training Solution

Rebellis Academy offers online training to suit all organizational needs. Select from our out-of-the box courses, provide your own, or...

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Mar 7, 20221 min read

2022 Outlook: Increased Marketing Oversight Is Top MAO Compliance Concern

Rebellis Group's Betsy Seals and John Selby were recently interviewed by AIS regarding CMS's take on third party marketers and the...

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Feb 25, 20221 min read

Training

Rebellis Group is Pleased to Offer a Comprehensive MA and Part D Training Solution

Rebellis Academy offers online training to suit all organizational needs. Select from our out-of-the box courses, provide your own, or...

138 views0 comments

Feb 23, 20221 min read

Marketing

2022 Outlook: Increased Marketing Oversight Is Top MAO Compliance Concern

Rebellis Group's Betsy Seals and John Selby were recently interviewed by AIS regarding CMS's take on third party marketers and the...

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Feb 15, 20221 min read

With more choices than ever, how will your Medicare Advantage Plans stand out in 2023?

Join Deft Research’s George Dippel and Rebellis Group’s Betsy Seals and John Selby as they present key findings from Deft’s 2022 Medicare...

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Feb 15, 20221 min read

With more choices than ever, how will your Medicare Advantage Plans stand out in 2023?

Join Deft Research’s George Dippel and Rebellis Group’s Betsy Seals and John Selby as they present key findings from Deft’s 2022 Medicare...

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Feb 8, 20224 min read

The New Face (to Face) of the SNP Model of Care (MOC)s

For those of you who are new special needs plans effective January 1 of this year, you are very familiar with the new NCQA/CMS Face to...

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Feb 1, 20223 min read

Prescription Drug and Health Care Spending

Under the Consolidated Appropriations Act (CAA) 2021 On July 9, 2021, President Biden issued Executive Order 14036, “Promoting...

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Jan 18, 20223 min read

Medicare Advantage and Part D Proposed Rule

Co-Authored by Debra Devereaux and Roxanne Newland CY2023 Medication Advantage and Part D Proposed Rule (CMS-4192-P) Proposed provisions...

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Jan 18, 202223 min read

Podcast: Supplemental Benefits in Medicare Advantage

Betsy Seals, CEO of the Rebellis Group Updated: Dec 9, 2021 B-Time with Beth Bierbower on Apple Podcasts To help us understand what...

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Jan 18, 20222 min read

An Ounce of Prevention is Worth a Pound of Cure

Part D Rejected Claims Review Co-Authored by Debra Devereaux and Roxanne Newland Where Medicare programs are concerned, no platitude...

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Jan 18, 20223 min read

Prescription Drug and Health Care Spending

Under the Consolidated Appropriations Act (CAA) 2021 On July 9, 2021, President Biden issued Executive Order 14036, “Promoting...

4 views0 comments

Jan 18, 20222 min read

Marketing

Marketing & Sales Misrepresentations

Marketing & Sales Misrepresentations - Detection & Prevention Activities Every MAO Should Implement Now that the Annual Election Period...

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Jan 17, 20223 min read

CY2023 Medication Advantage and Part D Proposed Rule (CMS-4192-P) Proposed provisions in this rule

Co-Authored by Debra Devereaux and Roxanne Newland Proposed provisions in this rule will reduce out-of-pocket prescription drug costs,...

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Dec 8, 20212 min read

Marketing & Sales Misrepresentations - Detection & Prevention Activities Every MAO Should Implement

Now that the Annual Election Period (AEP) dust has settled, it is important to ensure that we’re reflecting on our performance in the...

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Dec 7, 202123 min read

Podcast: Supplemental Benefits in Medicare Advantage with Betsy Seals, CEO of the Rebellis Group

B-Time with Beth Bierbower on Apple Podcasts To help us understand what Medicare Advantage plans are currently doing to attract and...

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Part D Rejected Claims Review: An Ounce of Prevention is Worth a Pound of Cure

Nov 2, 20212 min read

Operations

Part D Rejected Claims Review: An Ounce of Prevention is Worth a Pound of Cure

Co-Authored by Debra Devereaux and Roxanne Newland Where Medicare programs are concerned, no platitude could be more relevant. CMS...

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