The April 1 CMS announcement included finalized payment updates within the 2025 Medicare Advantage and Part D Rates. Highlights include goals for MA and Part D programs, including advancing equity, driving person-centered care, and promoting affordability. Read more for the expected impact of these changes and things your organization should be considering because of them.
On August 15, 2023, CMS released the updated guidance for Part C and Part D enrollment and eligibility. Included with the policy and technical changes was a new MA model enrollment request form. Read about the notable updates here, as well as access links to enrollment/disenrollment instructions and forms.
Annually, open enrollment activities are a true performance test of your company’s systems and processes. Challenges faced during open enrollment can lead to significant compliance risks for your organization as it enters the CMS 2023 Program Audit time of year.
From 2022 to 2023, star ratings for Medicare Advantage Plans (MAPs) have dropped—from 68 percent of MAPs having 4 stars or higher to only 51 percent having 4 stars or higher. That means slightly less than half the plans available to Medicare eligible members have achieved a good rating. For those MAPs with lower CMS star ratings than they would like, or those with CMS star ratings they would like to maintain or boost, here are four tips for setting your organization apart and helping increase your CMS star rating.
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