Some states have already cut in-person interviews and limited renewals to once a year, aligning with Medicaid and CHIP final rule policies. - https://t.co/aStGfn8uG5
Payers should implement vendor management programs, incident response plans, and training processes to prepare for third-party security incidents. - https://t.co/BxpWWLTNqw
Payers can use the next couple of years to establish a solid technology strategy to ensure compliance with the prior authorization final rule. https://t.co/oZvdjOvFN5
Health systems do not invest in the infrastructure needed to support Medicare Advantage, while health plans offer low reimbursement, leading to contract terminations. https://t.co/wBQzNSUJYU
In addition to an increase in Medicare Advantage plan payments, CMS proposed updates to the Part D risk adjustment model and star ratings. https://t.co/iQ8faiNTGn
In 2024, payers must comply with Medicare Advantage marketing requirements, price transparency regulations, and prior authorization policies. https://t.co/OTMPSUO6L5
Per its settlement, Cigna must conduct annual risk assessments, but all Medicare Advantage plans should be proactively monitoring their compliance actions. https://t.co/DJDJ4kb3i3
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With new Medicare Advantage marketing regulations in place for 2024, payers must work with their marketing teams and establish proactive oversight programs to ensure compliance. https://t.co/Tu1XtAZEzQ
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The Blue Cross Blue Shield Association boasts 34 independent companies that provide healthcare coverage to people across the United States. https://t.co/BNDahaw15T
Following through on the Inflation Reduction Act provisions, the Biden-Harris Administration will begin Medicare price negotiations with the drug companies this fall. https://t.co/MyIRmynRc9
Mental health issues were the most commonly cited impact of COVID-19 and mental health initiatives were the highest priority for employers looking toward 2024. https://t.co/22PEZiwRWi
To reduce emergency department admission rates, payers can implement virtual care, machine learning, and value-based care strategies. - https://t.co/qgoGxiP4VZ
The projected decrease in Medicare Part D premiums reflects premium stabilization and improved Part D benefits, both tied to the Inflation Reduction Act. - https://t.co/6IJLzLqm17