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Medical care can be costly, particularly for patients with chronic diseases, such as high blood pressure, diabetes, heart disease, or cancer. Value-based care places an

Enhancing provider engagement can have a dramatic impact on health plan performance. Recent studies show that health plans find that involving providers leads to improved

The Center for Medicare & Medicaid Services (CMS) Risk Adjustment Model ensures adequate resources to care for our high-risk Medicare Advantage members. Mandated by the

The greatest uncertainty is members’ health status, which could impact MA organizations’ bidding submission process for 2022. Fortunately, fully vaccinated members are likely to resume

In 2008, Congress passed the Medicare Improvements for Patients and Providers Act (MIPPA). This legislation started the trend for value-based care programs (also known as value-based contracts or

The Centers for Medicare & Medicaid Services (CMS) released an updated data snapshot detailing the impact of COVID-19 on Medicare beneficiaries, particularly among underserved beneficiaries

The Centers for Medicare & Medicaid Services (CMS) reported that the use of data analytics in the Medicare program has resulted in millions of dollars

Can a patient have and not have diabetes at the same time? According to private insurers participating in the Medicare Advantage program, the answer is