Healthcare solutions with the end in mind
In its recent 2023 Advance Payment Notice, CMS proposed the development of a Health Equity Index as an enhancement to its Medicare Advantage Star Ratings program. CMS states that “As we further explore this option, we are considering what other data are available and what other social risk factors might be appropriate to include over …
Medicare Advantage (MA) is the program by which private plans can offer Medicare coverage. Medicare beneficiaries can choose either traditional fee-for-service (FFS) or enroll in a private MA plan. Over one-third of beneficiaries choose private plans, but that proportion varies greatly by the region of the country. Traditionally, services related to social determinants of health …
Is a Medicare Advantage SDOH Partnership Right for Your Organization? Read More »
March 26, 2020—While the policy and regulatory environment continues to adapt to the unprecedented challenge of COVID-19 and the focus at this time is appropriately on identification and treatment, in the coming months those in the healthcare industry will begin to consider the longer-term impacts of this pandemic. For Medicare Advantage (MA) organizations, one major …
What you Need to Know about Medicare Advantage Star Ratings and COVID-19 Read More »