P4P is already on its way and most organizations that manage Medicare lines of businesses are not preparing for the changes in data collection and reporting. Here is a good article outlining the P4P programs already in demonstration with CMS and where they are headed. Now is the time for us to pay attention...
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Medicare Advantage (MA) Plans are beginning to plan for all of the anticipated changes in payments and reimbursements and there are many planned in 2007. Here are just a few factors that will determine who wins and loses on the battle for MA plan reimbursements: 100% Risk Adjustment – 2007 will be the first...
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CMS is hosting a Satellite/Webcast on Tuesday, January 31, 2006 from 1:00-4:00pm EST. The goal of this broadcast is to provide Health Plans, Employers, Unions, and Part D Sponsors and potential applicants with an update on changes and/or revisions on the following topics: Overview of the Medicare Advantage Application requirements and process for the...
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Earlier we talked about industry collaboration and how it is essential in successfully manage your Medicare business. In California the group, Industry Collaboration Effort (ICE) has done an outstanding job of volunteer professionals working to develop information, processes and tools to better manage Medicare. Take a look at some of the amazing tools and...
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One of the greatest impacts that the Medicare Modernization Act of 2003 has made on healthcare is the need for all stakeholders managing the business of Medicare to work together. Many providers, MSO’s, physician groups, plans and even CMS have been able to operate with little regard to how their roles effected other stakeholders...
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