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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CMS is Now Requiring Drug Management Programs: What You Need to Know

America has been in the throes of an opioid epidemic since the late ‘90s, with half a million people dying of opioid...

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The Past, Present and Future of CMS Audits

On May 14, 2021, the Centers for Medicare and Medicaid Services (CMS) released the “2020 Part C and Part D Program...

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"Nudge Theory" Proves Successful in Medication Adherence

Taking medications long term requires strong discipline and motivation; however, people often cite time management as...

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The Next Step in the Opioid Epidemic: Protecting Government-Sponsored Health Plans from...

The misuse and abuse of opioids continues to be an epidemic in this country. As efforts are made to identify and...

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Bringing Some Clarity to 2022: The Centers for Medicare and Medicaid Services (CMS) Releases the...

The year 2020 was unprecedented in many ways and that included the CMS rulemaking process for contract year 2021...

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