August, 2023

2024 Low-Income “Extra Help” Subsidy Changes. Prepare now to implement changes, including developing member retention and acquisition strategies.  

Changes To Level 1-Appeals for Medicare Advantage Plans: Appeal & Grievance Data Form Must Be Updated by Oct. 3, 2023. Plans must disclose grievances/appeals to any MA plan-eligible individual upon request.

CMS Strengthens Its Commitment to Health Equity With Finalized Enrollment Guidance. CMS took a significant step towards advancing health equity with finalization of Parts C & D Enrollment Guidance. 

CMS Training for Part D Formulary & Benefit Administration Validation Audits. CMS released the HPMS memo “Announcement of the Part D Formulary and Benefit Administration Validation Audit” which impacts Medicare Advantage PDPs.

Charles will guide ATTAC’s Medicare Advantage and Part D clients to implement strategies that address evolving operational and compliance issues, along with Risk Adjustment and Health Equity challenges impacting plans.
Join ATTAC for an insightful webinar as we delve into ongoing scrutiny by the OIG and its impact on health plans. Our expert panel will discuss:
  • Implications of OIG Risk Adjustment audits for health plans
  • Strategies to identify potential audit threats, understand consequences and develop effective solutions to mitigate risk
  • Key factors for robust Risk Adjustment programs that elevate member quality of care and improve outcomes
  • Insights from OIG audits issued to date
Medicaid expansion is putting pressure on states, providers and plans to drive down costs. How can you meet new requirements and secure your spot in the market? 

In this webinar, ATTAC Consulting Group will share expert insights and real-world examples related to: 

  • What does the future of Medicaid reimbursement look like?
  • What’s the impact of proposed regulations (even if they’re not fully adopted)?
  • What impact will proposed reimbursement requirements and current VBP mandates have on Medicaid bids?