Industry News and Perspectives From The Rebellis Group Team

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Latest News

Oct 21, 20213 min read

2022 Star Ratings Results: What Are Your Members Telling You?

Co-Authored by Jane Scott and Jennifer Beckett Just over a week ago CMS released the 2022 Medicare Advantage Star Ratings results. Over...

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The Annual Readiness Checklist: Beyond Marking the Box

Oct 18, 20214 min read

Operations

The Annual Readiness Checklist: Beyond Marking the Box

Co-Authored by Jennifer Young and Wendy Karsten Sign-up for our newsletter and we will send you a copy of our best practice CMS Readiness...

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Improper Payments in Government Programs: Has The Other Shoe Already Dropped?

Oct 13, 20212 min read

Compliance

Improper Payments in Government Programs: Has The Other Shoe Already Dropped?

Co-Authored by Betsy Seals, CEO and Martha Goodlin, RN Over the past several years, we have seen an increase in CMS, OIG, and DOJ...

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Oct 11, 20211 min read

CMS Memo: “Third Party Marketing” Creates a Ripple Effect Felt Far and Wide…Are We Having Fun Yet?

Anyone who has had the pleasure of navigating the Sales and Marketing Compliance realm this past year has experienced a brand-new...

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Sep 9, 20211 min read

Take a read of the below interview in Authority Magazine, with Betsy Seals, Rebellis Group CEO

"Like many people, I ended up in Medicare Advantage by happenstance. I was in my second year of college, and I got a job in Customer...

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Jul 20, 20212 min read

Immediate Updates to the Timeliness Monitoring Project (TMP)

On June 28, 2021, CMS announced that the Timeliness Monitoring Project (TMP) will be moving from the 1Q of the subsequent year to the 3Q...

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Apr 22, 20211 min read

Top Deficiencies for Part D Program Audits

The Centers for Medicare and Medicaid (CMS) audit season is upon us reminding health plans that it’s a good time for an internal review....

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Apr 9, 20211 min read

Member Experience – The Only Way to Succeed in Medicare Advantage

In case you were unable to join Rebellis Group and Carrot Health for our discussion around the importance of Member Experience – we've...

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Feb 26, 20213 min read

Drug Benefit Comparison Tool Implementation: It’s for real this time…

Co-Authored by Jennifer Young and Roxanne Newland The real-time drug benefit comparison tool (also known as RTBT) was proposed by CMS in...

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Feb 3, 20212 min read

Former Gorman Health Group Executives' New Firm to Deliver a Modern Approach

SAN FRANCISCO, Feb. 3, 2020 /PRNewswire/ -- Today marks the launch of Rebellis Group, LLC, a new government programs consulting firm...

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Nov 10, 20201 min read

Member Experience in Part D: An ounce of prevention is worth a pound of cure...

As we careen toward the beginning of the new plan year, don’t forget to think about member outreach for formulary changes effective...

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Oct 12, 20204 min read

Risk Adjustment Actions Across Multiple Reporting Periods

For MA plans, 2020 has been a period of vast changes in the risk adjustment industry, unlike anything we have seen in years past. The...

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Sep 23, 20201 min read

This BAT Does Not Have Wings (But It Can Send your Members Flying If Not Done Correctly)

As 2020 has been challenging on so many fronts, health plans will want to “put their best foot forward” on January 1, 2021. New members,...

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Sep 10, 20201 min read

What Are Medicare Advantage Plans Up to Right About Now? With Betsy Seals

In episode 291 of the Relentless Health Value podcast, Rebellis Group co-founder Betsy Seals and host Stacey Richter discuss the current...

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Aug 27, 20202 min read

Member Experience: Your Achilles Heal?

Co-Author: Charro Knight-Lilly In any industry, member, client, or customer experience and retention is a critical part of success. After...

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Jul 21, 20201 min read

Betsy Seals and Deb Devereaux cover story in First Report Managed Care

Betsy Seals and Deb Devereaux, MBA, RPh, explain what motivated them to start a managed care consulting business; how COVID-19 shifted...

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May 22, 20201 min read

Holy HSD Tables - Your Network Just Got Bigger

Today CMS announces further updates to 2021 plan year (and beyond) benefits. If you are intimately involved in your organization’s plan...

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May 14, 20203 min read

Top five items that can make or break your benefit strategy in 2021

Co-Author: Debra Devereaux MBA, RPh Although we’re almost to the plan benefit package (PBP) and bid filing deadline (it’s the final...

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May 6, 20202 min read

Innovation during the COVID-19 crisis - Don't find yourself on the wrong end of the tipping point

As expected, CMS has provided Medicare Beneficiaries with a Special Election Period (SEP), as communicated on May 5th via an HPMS memo...

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Apr 23, 20201 min read

COVID-19: CMS Guidance Update

On April 21st, CMS released a memo titled "Information Related to Coronavirus Disease 2019 - COVID-19", which supersedes the previous...

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