Looking Ahead to 2023: Medicare Readiness

The 2022 audit cycle is coming to a close. CMS issued its last engagement letters for 2022 program audits at the end of...

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New Guidelines for Diabetes First Line Therapy Could Lead to Increases in Drug Spend

Diabetes is an epidemic that drives a significant amount of medical cost. Eleven percent of the United States’...

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Elixir’s 2023 Formularies Drive Optimal Value with Under 1% Member Disruption

At Elixir, whole member health is at the heart of our formulary strategy and drug management practices. As we prepare...

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Inflation Reduction Act of 2022: The Basics

On August 16th, 2022, President Biden signed into law H.R. 5376, a budget reconciliation measure known as the Inflation...

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What to Know for the 2022-2023 Flu Season

According to the Centers for Disease Control and Prevention (CDC), there were as many as 14,000 flu-related deaths and...

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Insights for Remaining Audit Ready: CMS Releases 2021 Audit Enforcement Report

On June 7, 2022, the Centers for Medicare and Medicaid Services (CMS) released the 2021 Part C and Part D Program Audit...

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Medicare Marketing Modifications: The Old and the New

This February, Centers for Medicare and Medicaid Services (CMS) announced an update to the Medicare Communications and...

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Is it 2023 Already? Planning for Contract Year 2023 has Begun for Health Plans

Now that everyone has taken a moment to breathe and maybe a couple of days off after a successful launch of the...

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Closing One Chapter and Starting the Next: CMS' New Portal

The 2021 audit cycle is coming to a close. The Centers for Medicare and Medicaid Services (CMS) issued its last...

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Changes in the Stars: The Pandemic's Impact on Star Ratings

The pandemic continues to have a profound impact on healthcare and that includes the Centers for Medicare and Medicaid...

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