Developed by CMS, Medicare Star Ratings provide a quick way to compare the quality and performance of Medicare Advantage and Part D Prescription Drug plans.
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Tag: CMS
Making Care Primary (MCP) Model
A new CMS initiative, Making Care Primary Model, aims to strengthen the primary care infrastructure and address community priorities.
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Coding Corner: Vascular Disease Documentation & Coding
When documenting and coding a patient’s vascular disease, specify the underlying cause, artery, and location.
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Medical Loss Ratio (MLR) in Value-based Care
Medical Loss Ratio (MLR) is a measurement used by the Centers for Medicare and Medicaid Services (CMS) to ensure Medicare Advantage plans provide value to enrollees.
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What You Need to Know About the 2024 Proposed Part C Risk Adjustment Model
CMS recently finalized the 2024 Proposed Part C Risk Adjustment Model, making changes to reflect recent utilization and cost patterns.
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The Future of Medicare Telehealth Flexibilities
As the COVID-19 PHE ends, the future of telehealth expansion is uncertain. Regulatory changes need to be continued to provide these services to patients.
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