What Have We Done for You Lately? – January 2019
Here’s an overview of our work for you in January 2019.
What’s on the Horizon for Managed Care in 2019?
New Rules: The passage of legislation in 2018, such as the Bipartisan Budget Act of 2018 which contained provisions of the CHRONIC Care Act, will lead to changes in the types of benefits Medicare Advantage (MA) plans may offer in 2020 and beyond and what is expected of both MA and Special Needs Plans (SNPs). CMS closed 2018 ...
Final “Pathways to Success” ACO Rules Speed Up Pace of Provider Risk
As the potential downside financial risk escalates, we anticipate greater pressure to be exerted on providers participating in those ACOs to avoid hospitalizations, reduce the frequency and duration of Skilled Nursing Facility stays and improve care transitions between settings. These care delivery pattern shifts will increase ...
What Have We Done for You Lately? – December 2018
Here’s an overview of our work for you in December 2018.
A Closer Look at 2019 MA Plans' HCBS Supplemental Benefits
The first report issued by the Long-Term Quality Alliance (LTQA) summarizes findings from interviews with seven Medicare Advantage organizations discussing how they approached the issue of whether or not to take advantage of ...