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Article
Stakeholder perspectives on the transformative IRA Part D benefit redesign
21 December 2023 - by Bruce S. Pyenson, Jennifer Carioto, Michael Rothschild, John Miller, Stephanie Leary
We discuss how the Inflation Reduction Act could affect Medicare Part D plans, members, the government, and pharmaceutical manufacturers.
Article
High-level impacts of the proposed CMS-HCC risk score model on Medicare Advantage payments for 2024
28 February 2023 - by Rob Pipich, Karin Cross, Michael Rothschild
The 2024 Medicare Advantage (MA) Advance Notice includes a proposal to implement a clinically revised risk score model to be used for MA payments for calendar year 2024.
Article
Medicare Advantage Risk Adjustment Data Validation (RADV) final rule
08 February 2023 - by Rob Pipich, Karin Cross, Michael Rothschild
The RADV final rule has significant implications for how Medicare Advantage plans are paid. Learn more about how the final rule may affect MA stakeholders.