The Bridge – Volume 11

CMS Important News Releases With a general election, massive increases in COVID-19 cases across the country, and many organizations focusing on the Annual Election Period, you may have missed these important CMS news releases. Advance Notice of Methodological Change for 2022 CMS will calculate 100% of the risk score using the 2020 CMSHCC model (vs.…

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Can Medicare Advantage Cure America’s Healthcare Crisis?

The face of America is changing. Race relations are evolving. Social interaction has been altered, perhaps forever. The economy is transforming. And our healthcare crisis is ripe for disruption. Is this revolution going to be painful or painless, bloody or bloodless? Are you prepared for seismic shifts in the way our country provides healthcare? Forbes…

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6 Traits of a Great Consulting Partner

In the world of Medicare and Medicaid, choosing a consulting partner to help streamline your health plan’s operations can be tricky. While a company or individual may be well-versed in best practices for project management or operational efficiency, they may not understand the unique requirements of the payer market – making them less than effective…

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How a Medicare Advantage Voucher Program could be the Next Medicare Part D

With 10,000 Americans entering Medicare every day, the health plan industry continues to expand. In 2015, 55.5 million people were enrolled in Medicare. By 2020, that number is expected to increase to 64.4 million, and to balloon to 81.8 million by 2030. Yet, of the current 55.5 million Medicare beneficiaries, only a third are enrolled in…

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