Fraud in Value-Based Care Programs
Prevent fraud with our software from Ensure Data Solutions is perfect because Fraud in managed care programs increases costs for the government – sometimes substantially. As the amount of taxpayer…
Rx Utilization Factors
Ensure Data Solutions always said that utilization has become a key factor when we talk about reducing cost of healthcare and prescription drug expenses is big part of it. Overutilization leads…
Medicare Advantage plan changes coming for 2022
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-person care this year, which…
Close shot of a female doctor studying medical records via laptop
Fraud is mounting in Medicare Advantage
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 yes. The data architecture of…
CMS Announces Final participants in Emergency Triage, Treat, and Transport (ET3) Model, Furthers Commitment to Ensure Beneficiaries Have Access to Quality Care and Treatment
Today, the Centers for Medicare & Medicaid Services announced the final list of participants approved to take part in CMS’ Emergency Triage, Treat, and Transport (ET3) Model, a payment model…
