Insights
4 Tips to Expand and Grow Your Enrollment in a Fiscally Responsible Way
As MA plans continually search for opportunities to grow enrollment, it's critical to approach the expansion process in a fiscally responsible way. Read our tips for evaluating your growth…
Helping Smaller Providers Assess Their Ability to Take on Risk
When it comes to making the shift to value-based reimbursement, plans must consider their smaller providers' ability to take on risk. Empower your provider network with GHG's 15-point checklist to…
Impacts of CMS’ 2022 Advance Notice Part I on Risk Adjustment
CMS recently released the 2022 Advance Notice Part 1, with a heavy emphasis on the shift from RAPS to EDS to calculate risk scores. Here's what you should know.
Network Development Season is Upon Us
It's network development season, and CMS' recent changes to network adequacy requirements merit taking a closer look at where new MA plans can take root, and where existing plans can further expand…
DOJ’s Increased Focus on Risk Adjustment and Compliance
As the DOJ continues its efforts to investigate the diagnosis capture and reporting practices of MAOs, MAO executives must proactively evaluate their own risk adjustment programs.
2021 Chapter 2 Enrollment Changes
CMS recently released the 2021 Chapter 2 Enrollment Changes. GHG's VP of Sales, Marketing & Strategy, Diane Hollie, summarizes the key changes here.