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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 ...
Regulatory Roundup 2.0
This tracker replaces the current “Regulatory Roundups” and will cover all grounds for our members, e.g. housing, nursing home, home and community-based services etc. This will be updated weekly, so you have the most up to date information. Specific features of the new ...
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.
HHS Releases Draft Guidance to Ease Use of EHRs
The U.S. Department of Health and Human Services (HHS) is seeking comments on draft guidance intended to streamline the use of electronic health records (EHRs) and other health information technology (IT). The draft,