Executive Briefing | November 13, 2018

Navigating CMS’ Enhanced Program Integrity—Preparing for the Spotlight

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On June 30th, CMS announced it was enhancing its Program Integrity efforts that focus on addressing improper Medicaid payments and CMS oversight of state Medicaid programs. The announcement introduced 8 initiatives, including stronger audit functions, enhanced oversight of state contracts…

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Whitepaper | February 28, 2018

Managing Effectively in Complex Chronic Populations

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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…

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