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CMS must either release the final RADV rule by November or request an extension, and the final rule is expected to shed light on how the agency will address stakeholder concerns about applying FFS audit methodologies to MA.

We are pleased to support the California Association of Health Plans and the integral work they do throughout the state.

Plans have an important opportunity to boost member satisfaction by increasing use of their member portals and providing more and better-communicated mental health and substance use services.

Plans should establish baselines before attempting to measure outcomes.

A host of APIs developed in the past by the federal government have helped foster data exchange with the private sector, including Blue Button and MyHealtheData

CMS’ Center for Medicare & Medicaid Innovation is launching an updated oncology care model for Medicare designed to lower costs while improving outcomes and health equity.

The court’s ruling lends support to safety-net hospitals and helps them with uncompensated care while also avoiding excessive spending.

Being selected to partner with American Health Plans is an honor and yet another validation of RAM as the leader in the Medicare Advantage solutions and services space.

The plans that balance member experience, access to care and affordability appear to be best positioned to thrive.

We are constantly striving to provide the most comprehensive, fully integrated, end-to-end solution for health plans administering Medicare Advantage