CMS Pauses Broker Comp Limits | New Rules For Mental Health Parity & Provider Networks

LATEST INDUSTRY UPDATES

July, 2024

Preliminary Injunction Preserves FMO Compensation Practices For Medicare Advantage and Part D Plans. The injunction effectively maintains the status quo, allowing FMOs and other entities to continue existing compensation practices without new restrictions.

Five Steps Managed Care Orgs Can Take Now to Improve Member Engagement. As we move through the second half of 2024, managed care organizations must prioritize member engagement, especially for individuals with chronic conditions. Read on for member engagement tactics that focus on precise member identification, compelling messaging, effective communication methods, flexible visit options, and rigorous measurement.

Ensuring Network Adequacy: What Medicare Advantage Plans Need to Know About CMS’s New Rules. CMS has implemented significant changes to network adequacy standards that require Medicare Advantage plans to quickly adapt to ensure compliance. Get an overview of the necessary steps plans must take to meet these new requirements.

Free Webinar

Sept. 19 @ 2p Eastern

CMS 2025 Final Rule & Proposed Mental Health Parity Rule: Regulatory Changes Providers & Plans Need to Know

Join ATTAC as we dive into the CMS 2025 Final Rule and proposed Mental Health Parity rule and how regulatory changes may impact providers and plans.

Mental Health Parity | Significant changes will impact provider network operations and reimbursement.
Provider Network Requirements | Tightened network adequacy standards are intended to ensure that plans provide beneficiaries with timely access to a sufficient number of providers to meet Medicare Advantage and Mental Health Parity expectations.
Access to Care for Medicaid Beneficiaries Through State Medicaid Agencies | Updates focus on enhancing provider network adequacy to ensure timely access to services and improve overall transparency and accountability.

Presenters

Jocelyn Bayliss is the Program Leader for ATTAC’s Provider Network Development and Management team. She specializes in managing large-scale provider network contracting engagements, network development and management strategies, and network operations including network adequacy and access to care.

Amanda Brown serves as Vice President of ATTAC’s Compliance Solutions Group. She is an expert in navigating her clients through the changing landscape of Mental Health Parity compliance.