Medical Loss Ratio (MLR) is a measurement used by the Centers for Medicare and Medicaid Services (CMS) to ensure Medicare Advantage plans provide value to enrollees.
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Tag: CMS
What You Need to Know About the 2024 Proposed Part C Risk Adjustment Model
CMS recently finalized the 2024 Proposed Part C Risk Adjustment Model, making changes to reflect recent utilization and cost patterns.
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The Future of Medicare Telehealth Flexibilities
As the COVID-19 PHE ends, the future of telehealth expansion is uncertain. Regulatory changes need to be continued to provide these services to patients.
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What is the Difference Between Health Equity, Disparities, and Inequities?
What does health equity mean and how will Accountable Care Organization (ACO) Realizing Equity, Access, and Community Health (REACH) help everyone achieve their highest level of health?
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Coding Corner: Annual Wellness Visit Documentation & Coding
The goal of the AWV is to assess a patient’s risk factors, develop a personalized prevention plan, and discuss advance care planning. How do we document and code these yearly visits?
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3 Health Equity Pillars of ACO REACH
SDOH data collection, the Health Equity Plan, and benchmark adjustments are starting points for addressing health equity in ACO REACH.
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