How Do You Cross a Threshold to Success When There Isn’t One?

Jane Scott

Many plans are reacting to the changes affecting the Star Ratings as described by the most recent release of the 2016 Advanced Notice.  One of the most impactful changes is that of the removal of the thresholds for plan year 2016 measures.  CMS gave early warning of the removal of the thresholds for many of the measures and restates their position as per page 86 of the Call Letter:

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Gorman Health Group Client Forum Takeaways: Government Programs are Booming, Bar is Rising

John Gorman

We just wrapped our best-ever Gorman Health Group 2015 Client Forum at National Harbor with over 200 of …

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Risk Adjustment Recap & Keys to Success

Daniel Weinrieb

The 2016 Final Call Letter released on Monday, April 6, confirmed proposed rulings highlighting the following categories:

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You Got Them . . . Now How Do You Keep Them?

KLepsevich

Your plan’s marketing and sales efforts have proven fruitful, and the Annual Election Period (AEP) was a success!  …

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Medicaid Reimbursement Rates and the Future of the Program

Sunmi Janicek

A recent monumental decision by the Supreme Court was just passed, and it will define the way Medicaid …

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The Risk in DIY: CMS Mandated Material

Regan Pennypacker

“Do It Yourself”, or DIY, has been the rave for years now.  From social media sites like Pinterest …

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Reenergized After RISE…Now What?

Daniel Weinrieb

It’s the Wednesday after a jam-packed RISE conference, focused on “Best Practices and Actionable Tools for Improving Risk …

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