The Voice of CLyon

CLyon

About CLyon

Craig Lyon brings to Gorman Health Group clients more than 25 years of experience in provider network development, physician group practice and contracting. Craig has worked with a wide variety of health care organizations including health plans, hospitals, medical groups, Independent Practice Associations (IPAs), Medical Service Organizations (MSOs) and related entities. Read more

New CMS HSD Guidance Issued – What’s New?

CLyon

In case you haven’t studied the recent CMS HSD Guidance memo, let me save you some time (and pain).  This is the first of my blogs on the new CMS changes that will impact all MA Plans filing this year for a 2013 product launch.  Here’s what caught my attention:

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Get Ready for Network Shock

CLyon

Have you submitted an application to CMS to expand your provider network lately?   If not, you may be in for a big surprise.  Inadequate provider networks have always been the number one reason CMS rejects Medicare Advantage (MA) applications. But in recent years CMS has raised the bar even higher. 

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