Insights
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…
Part II of the CY 2022 Advanced Notice: Continued Evolution of the Medicare Advantage Star Ratings
CMS recently surprised plans with the early release of Part II of the CY2022 Advance Notice, with several updates impacting Star Ratings. GHG's Jessica Assefa summarizes the noteworthy changes here.
2021 Medicare Advantage Readiness Checklist
CMS recently released their 2021 Medicare Advantage Readiness Checklist. GHG's Jennifer Rogalla highlights key focus areas that may be new or expanded upon in 2021.
MA Plans See Lower 2021 Star Ratings on Average
The 2021 Star Ratings Program results have been released, and fewer MA plans received high Star Ratings. What does this mean for plans as we look toward the 2022 Star Ratings timeline?