Topic: Provider Relations

Strange Bedfellows Come to Medicare Advantage’s Rescue

John Gorman

If you can say anything about Medicare Advantage (MA), it definitely makes for strange bedfellows in both the private sector and in the halls of Congress.  Last Friday the full lobbying fury of the industry was in evidence as three separate groups of legislators appealed to the Centers for Medicare and Medicaid Services (CMS) on its 2014 rate proposal.

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What Sequestration Could Mean to Medicare Advantage Claims Payment

John Gorman

Last Friday CMS’s Medicare Learning Network released some details on how the sequester will impact Medicare fee-for-service. By extension we see some implications for what it means to Medicare Advantage (MA). The CMS notice offered the following: Read more

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Of course they should! (But not for the reason you may think)

Gorman Health Group

The New York Times reports that Hospitals fear they may bear the brunt of Medicare cuts.  I should hope so!  But not because they are wildly profitable at the expense of efficiency and innovation elsewhere.

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Newbies Slow Dual Eligible Expansion in Key States

John Gorman

After last week’s AHIP conference on Medicare and Medicaid and MANY coffees and cocktails later, a picture emerged that the only thing slowing the movement of dual eligibles into health plans isn’t nervous advocacy groups or overstretched regulators — it’s newbies to the game of caring for the nation’s most vulnerable patients.

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Join us Thursday for First in New Webinar series: Risk adjustment in the exchanges

John Gorman

On Thursday July 26th at 1pm ET we’ll kick off our new webinar series, “Lessons from Medicare Advantage and Part D”, a monthly webinar series around what we’ve learned in Medicare that can be applied to the  exchanges and other aspects of health reform. We’ll begin with a deep dive on risk adjustment in the exchanges.

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Times Are A-Changin’…Get Your Team to the GHG Forum June 12-13

John Gorman

In response to client requests, GHG is holding its first-ever Client Forum June 12-13 in Washington.  With so much change in the air in government programs, the Forum is the perfect opportunity to get your team focused on the road ahead.

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Don’t waste your travel budget

Gorman Health Group

We’re less than three months from the GHG Forum. This is NOT your usual conference. We’ve developed a unique educational retreat for management teams working in government programs. I’m thrilled at the presentations our faculty are preparing: we’re putting our senior consultants on the stage to deliver case studies, war stories and tales of best practices. But just as importantly, we’re building in time for you to react to these sessions with your team— to develop questions for your track faculty, compare notes, discuss implementing the best practices you’ve learned about.

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