It’s Time to Review Your Risk Adjustment Vendor Contracts. It’s imperative that MCOs have the right controls, oversight and monitoring in place to ensure accuracy of vendor-generated data submitted to regulators. Learn four areas to consider prior to vendor contract negotiation.
Overpayment Rule Stands: Review Your Plan’s Processes and Procedures Now to Avoid False Claims Act Liability. The Supreme Court recently denied a health plan’s petition related to the CMS Overpayment Rule, which requires Medicare Advantage organizations to return identified overpayments to CMS within 60 days. Read more here.
Timeliness Monitoring Project | CY 2022 Part C Data for 2024 Star Ratings. CMS will perform the yearly Timeliness Monitoring Project in three waves of data requests beginning in September 2022 and ending in October 2022. Learn more here.
Increased Medicare Beneficiary Complaints About Third-party Marketing Leads to New Requirements For Agent/Broker Training and Testing Guidelines. In 2021 there were nearly 40,000 marketing-related complaints. Learn more about new requirements.
CMS Announces Race and Ethnicity Data Changes Required For Medicare Advantage and Part D Plans. Read the CMS memo about race and ethnicity data that will be required for all enrollments after January 1, 2023.
ATTAC Consulting Group Welcomes Aaron Eaton as Senior Vice President for Corporate Strategy and Product Development. Mr. Eaton leads initiatives focused on solving business challenges faced by Medicare Advantage, Medicaid and Health Insurance Marketplace issuers. Read full release.
Visit ATTAC at RISE West. We'll be in Los Angeles August 31- September 2. This in-person conference brings together senior leadership in the managed care space to learn new ways to meet risk adjustment goals and keep up with the ever-changing Star Ratings measures.
