Executive Briefing | April 11, 2024
The Centers for Medicare & Medicaid Services (CMS) recently released the Final Rate Announcement for Calendar Year (CY) 2025. The announcement finalized a payment increase of 3.7% over CY 2024, which (as we previously reported) represents no significant change from…
Executive Briefing | March 25, 2024
THE PRESSURE IS ON TO PROTECT EXISTING ENROLLMENT WHILE DEMONSTRATING BETTER VALUE FOR BENEFICIARIES IN MEDICARE ADVANTAGE PLANS. The Centers for Medicare & Medicaid Services (CMS) released the 2025 Advance Notice on January 31, 2024, prompting Medicare Advantage organizations (MAOs)…
Article | May 18, 2023
Leading Market Trends and Challenges from the MLTSS Leadership Summit Managed Long-Term Support Services (MLTSS) continues to be spotlighted in discussions of complex care management, whole person care models, health disparities, and the direct care workforce shortage. Managed Care Organizations…
Whitepaper | February 28, 2018
Amid the clinical and financial transformation in healthcare, one area that continues to elude health plans is the appropriate management of care for members with multiple chronic conditions (MCCs). According to a HealthScape analysis, members with six or more chronic…