As the Arizona heat finally dips below 100 degrees, it’s starting to feel like Fall—my favorite season. Halloween is just around the corner, and I can’t wait to see all the creative costumes, spooky decorations, and, of course, binge-watch classic horror movies. But you know what’s scarier than any Halloween fright? Opening the Centers for Medicare & Medicaid Services (CMS) HPMS readiness self-assessment (Readiness Checklist’) memo and realizing your plan doesn’t have the resources to immediately act. That kind of shock will keep you up all night!
For health plan Compliance Officers, preparing for this can be daunting. With CMS set to release its annual Readiness Checklist any day (distributed by this time last year!), your CMS Account Manager will soon be scheduling your plan’s strategic readiness discussion. Plans must be prepared to evaluate their readiness against a comprehensive list of regulatory requirements, which often include new regulations and areas that are closely monitored or audited by CMS.
At Rebellis Group, we understand the complexities of balancing The Annual Enrollment Period, 2025 Final Rule implementations, M3P requirements, and compliance—all while working with operational teams to document and remediate risks. Our expert consultants are ready to support your compliance and operations teams with:
Converting the Readiness Checklist into a detailed workplan and assigning responsible parties for each requirement.
Facilitating kick-off meetings with key stakeholders to outline readiness initiatives, expectations, and timelines.
Collaborating with business owners to assess readiness, gather documentation, and address gaps through remediation.
Drafting and/or revising policies and procedures and other critical program documents.
Conducting operational assessments or mock audits to identify areas requiring corrective action.
Developing effective corrective actions and implementing ongoing monitoring and auditing plans to minimize non-compliance risks.
The next 8-10 weeks will fly by, so now is the time for Compliance Officers and operational leaders to assess resource needs and prioritize efforts. And don’t lose sight of the future—if you’re exploring new plans or service area expansion opportunities, be sure to file your Notice of Intent to Apply (NOIA). We can assist with the entire CMS application life cycle, including bid strategies and submission.
We know how hectic this time of year is. Now is the perfect time to bring in our experts to ensure your plan is fully prepared for 2025 and beyond.
We also offer a subscription service that analyzes HPMS and regulatory memos, ensuring your team stays up to date with the latest information to support your success.
Contact us to get started at partners@rebellisgroup.com.
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