Managing Medicare Advantage
The explosive growth in Medicare Advantage (MA) enrollment over the last decade is significantly impacting providers' bottom lines.
During a webinar presented on April 10, 2024, PYA's Martie Ross and Kathy Reep discussed regulations impacting MA plans and providers' interactions with the plans. Specifically, Martie and Kathy addressed these important points:
2025 MA rate announcement
Prior authorization final rule
Coverage criteria and utilization review regulations
Impact of changes to the Centers for Medicare & Medicaid Services-HCC risk adjustment model
MA enrollment and marketing…
The skinny
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