November 04, 2022—Medicare Advantage enrollment reached 28.4 million in 2022, accounting for 48% of potential enrollees and 55% ($427 billion) of total Medicare spending.
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August 22, 2022—We highlight the heightened regulatory environment associated with RAF scores and the importance of documentation to ensure accurate RAF scores.
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Transparency in Coverage Rule Is Only the BeginningDecember 01, 2022—The Transparency in Coverage final rule, applicable to commercial insurers, follows the Hospital Price Transparency rule by 18 months.
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Recent CMS Actions on State Requests to Control Medicaid Drug ExpendituresNovember 10, 2022—Outpatient prescription drugs are an optional Medicaid benefit, yet all 50 states provide the benefit as a key component of comprehensive medical coverage.
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Spotlight on Recent Federal Regulatory Actions Open for Public CommentNovember 18, 2022—CMS’ proposed rule to streamline eligibility processes in Medicaid and solicitation of public comment on the creation of a national provider database.
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Star Ratings: What’s AheadNovember 03, 2022—As Q4 approaches Medicare enrollees look forward to the Star Ratings tool, the tool that measures an enrollee’s experience with a health plan.
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Federal Regulatory TrackerNovember 22, 2022—FTI Consulting’s regulatory tracker highlights select anticipated or pending U.S. Department of Health and Human Services actions that may impact Medicare.
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