March 11, 2021 If your health plan struggles to stay current with the evolving Centers for Medicare & Medicaid Services (CMS) regulatory rules, you are not alone....
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OIG Report: HRA Use to Support Risk-Adjusted Payments is Concerning
October 27, 2020 Expanded Oversight of MAOs by CMS Recommended The Centers for Medicare & Medicaid Services (CMS) risk-adjusts payments to Medicare Advantage Organizations...
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Are You Managing Your Compliance Program Effectively?
October 12, 2020 Taking the time to develop a robust compliance program for your health plan is a given necessity if you wish to operate ethically and with integrity. In...
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Strengthen Your Culture & Develop Your Competitive Advantage by Investing in Compliance
May 13, 2019 Neglecting the importance of compliance is not sustainable on the part of a health plan or a solution provider. With both public and financial...
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