Medicaid Final Rule Aligns the Program with MA and Exchange Regulations

Olga Walther

The Centers for Medicare & Medicaid Services (CMS) issued the final Medicaid “mega-rule,” a huge regulation that makes changes to every part of the current managed care rules. Although the final rule makes some tweaks based on the comments received from the industry, it largely adopts the proposals released last May. The new changes will be phased in over the course of three years, with some provisions going into effect starting July 1, 2017.

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The ABCs of Member Satisfaction

Melissa Smith

Member satisfaction. Customer centricity. Member retention. Consumer experience. Regardless of the term used, the Consumer Assessment of Healthcare …

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Where is Healthcare Now? The Long March to Value-Based Care.

David Sayen
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Takeaways from the Gorman Health Group 2016 Client Forum

John Gorman

The Gorman Health Group 2016 Forum concluded last week with over 200 of our closest clients and partners. There was …

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CMS Addresses Risk Adjustment Methodology

Jessica Smith

It was great to see so many people attend the HHS-Operated Risk Adjustment Methodology Meeting in person last …

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Issues to Watch in Government Health Programs in the Next Few Months

Olga Walther

Last week was an exciting time for the policy world with the release of the Final Medicare Advantage …

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What’s Good for Obamacare Is Good for Medicare Advantage, and Vice Versa

David Sayen

I’m really excited to join Gorman Health Group (GHG) after more than 30 years at the Centers for …

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