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GHG Healthcare Perspectives
With Switching Down, MAOs Seek ‘Untapped’ Market Segments
AIS Health recently spoke with GHG's Vice President, John Selby, about his analysis of the 2021 Medicare Annual Election Period.
2021 Risk Adjustment Strategy and Program Readiness
The COVID-19 pandemic put a strain on the entire healthcare industry and, for risk adjustment in particular, the disruption caused by the pandemic resulted in both positive and negative effects. Here…
CMS Program Audit Universes and Protocol Changes Tabled Until 2022
CMS recently released the 2021 Program Audit Memo announcing that it will start sending engagement letters in March 2021, but health plans should remain diligent about audit preparation and their PBM…