We pride ourselves on having both day-to-day alignment with the latest CMS guidance and the long-term strategic vision to keep it all in perspective. Our mission as the industry’s most active professional services consultancy and provider of technology-based solutions is to empower health plans and providers to deliver higher quality care to beneficiaries at lower costs, while serving as valued, trusted partners to government health agencies. 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… On September 14th, CMS published the 2022 Advance Notice Part I, with particular emphasis on Risk Adjustment. One key takeaway from this announcement is that CMS will push forward with their plan to… AIS Health recently spoke with GHG's Vice President, John Selby, about his analysis of the 2021 Medicare Annual Election Period.
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 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… 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.
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2021 Risk Adjustment Strategy and Program Readiness
Industry Alerts
2022 Advance Notice Part I Released, Heavy Focus on Risk Adjustment
Insights
With Switching Down, MAOs Seek ‘Untapped’ Market Segments
2021 Risk Adjustment Strategy and Program Readiness
CMS Program Audit Universes and Protocol Changes Tabled Until 2022
Part II of the CY 2022 Advanced Notice: Continued Evolution of the Medicare Advantage Star Ratings
Diane Hollie is Senior Director of Sales, Marketing & Strategy at GHG Advisors. In this role, she provides strategic consulting services to ensure organizations maximize their sales distribution and marketing mix. Diane brings GHG clients more than 20 years of experience in marketing, sales, and product development for Government Programs. Her strong marketing, sales, and compliance background has extended to providing compliance guidance for marketing, sales, and customer service communications.
Since joining GHG, Diane has worked with numerous clients to meet and exceed their enrollment goals, maximize their market potential with strong competitive products, and develop marketing and sales strategies to improve market share within the ever-changing Centers for Medicare & Medicaid Services (CMS) compliance guidelines.
Many of GHG’s clients have turned to Diane to provide marketing analysis, marketing and sales plan development, operational assessments of marketing, and marketing compliance and sales areas. She is fluent in developing the working tools and training programs for future success within the market and with CMS. Diane has published several articles providing marketing and sales guidance within the Medicare Advantage market.
