2022 Medicare Advantage and Part D Advance Notice Part II
CMS released Part II of the Calendar Year (CY) 2022 Advance Notice of Methodological Changes for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies (the …
Medicare Open Enrollment Begins Tomorrow. What’s New for Beneficiaries this Year?
Earlier this month, CMS released the 2021 benefit and cost-sharing information for Medicare Advantage and Part D prescription drug plans on Medicare.gov. Additionally, for the first time, seniors will be …
Medicare Advantage Hospice Carve-In (VBID) to Begin in 2021!
With everyone’s attention being consumed by COVID-19, it’s easy to forget about important new payment model demonstrations coming up. The Hospice Medicare Advantage Carve-In demonstration is still starting in 2021 …
OIG: Billions in Estimated Medicare Advantage Payments From Diagnoses Reported Only on HRAs Raise Concerns
OIG conducted a new study because of concerns that Medicare Advantage organizations (MAOs) may use health risk assessments (HRAs) to increase risk adjusted payments inappropriately. The Medicare Advantage (MA) program …