Mary Moll Alexandre

McDermott Will & Schulte

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Final Policies on Encounter Data and the Star Ratings Released

The Centers for Medicare and Medicaid Services recently finalized meaningful Medicare Advantage policy changes in response to industry concerns, including those regarding data integrity, the Star Ratings and encounter data....more

4/6/2017 / Centers for Medicare & Medicaid Services (CMS) , Data Collection , Medicaid , Medicare , Medicare Advantage , Medicare Advantage Organizations (MAOs) , Risk Adjustment Formula , Star Ratings

21st Century Cures: Congress Enacts Medicare Advantage and Small Business Insurance Market Reforms

The 21st Century Cures Act encourages biomedical research investment and facilitates innovation review and approval processes, but also serves as a vehicle for a wide variety of other health-related measures, including...more

12/12/2016 / 21st Century Cures Initiative , Affordable Care Act , Centers for Medicare & Medicaid Services (CMS) , ESRD , Handbooks , HRA , Medicare Advantage , Open Enrollment , Risk Assessment , Star Ratings

Preview of Medicare Advantage and Part D Advance Notice and Call Letter: CMS Likely to Address Risk Adjustment, Provider Network,...

The federal government will soon kick off the all-important annual sub-regulatory cycle for the Medicare Advantage (MA) and Part D programs, issuing proposed policy changes and payment rates for calendar year (CY) 2017. The...more

2/10/2016 / Centers for Medicare & Medicaid Services (CMS) , Comment Period , Fee-for-Service , Health Care Providers , Medicare Advantage , Medicare Part D , MedPAC , Recovery Audit Contractors (RACs) , Star Ratings

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