Regulatory Changes for PDE Reporting in CY 2024 and Beyond
On October 13, 2023, the Centers for Medicare & Medicaid Services (CMS) published the Readiness List for CY 2024. This […]
On October 13, 2023, the Centers for Medicare & Medicaid Services (CMS) published the Readiness List for CY 2024. This […]
2024 Star Ratings, which CMS released on October 13, 2023, has forced the industry to reflect upon and restrategize the
In a world of evolving healthcare regulations, compliance isn’t just a mandate – it’s a cornerstone of success for payers
Price transparency is a term that has recently become a leading factor among healthcare payers and providers. It’s a tool
In the ever-evolving landscape of healthcare, health plans are realizing the importance of leveraging technology solutions to improve their Vendor
The Inflation Reduction Act of (IRA) 2022 has wide-ranging impact on payments for drugs used by Medicare beneficiaries, whether they
The Centers for Medicare & Medicaid Services (CMS) has released new audit protocol changes for Medicare and Medicaid plans. These
A perspective on recent industry shifts influencing ACA plan operations in states, which are yet to adopt ACA Medicaid expansion
Proactive healthcare compliance refers to an approach where an organization seeks to identify and address compliance risks before they become
Medicare Advantage Organizations (MAOs) and Prescription Drug Plan (PDP) sponsors have to submit Parts C and D reports to the