BluePeak Advisors, Author at BluePeak Advisors

Audits CDAG CMS CPE FA ODAG SNP-MOC

Along with Other Trends, CMS Cites Common and New Findings in 2018 Program Audits

The end of September marks the end of the full 2018 Centers for Medicare and Medicaid Services (CMS) Program Audit season. Plans that have not yet received an audit engagement…

BluePeak AdvisorsSeptember 21, 2018

CMPs CMS Part C Part D Uncategorized

BluePeak Services Spotlight: End-to-End Part C Claims Processing and Part D Claims Testing and Monitoring

In addition to the Centers for Medicare & Medicaid Services (CMS) program audits, a plan’s claims issues, such as not processing Low-Income Subsidies (LIS) correctly, can surface in one-third financial…

BluePeak AdvisorsSeptember 21, 2018

CMS EOC HPMS Marketing MCMG Medicare

Medicare Communications Marketing Guidelines: A Primary Topic at the CMS Fall Conference

BluePeak Highlights the Changes to MCMG Requirements The Centers for Medicare & Medicaid Services (CMS) 2018 Medicare & Prescription Drug Plan Fall Conference and Webcast kicked off on Thursday, September…

BluePeak AdvisorsSeptember 21, 2018

CMPs CMS Podcast

BluePeak Podcast: Cost of Non-Compliance

The Facts are Sobering: CMPs may be the least expensive part of being non-compliant. CMS audits are on the rise, as are CMPs and sanctions. The average CMP is around…

BluePeak AdvisorsSeptember 21, 2018

ANOC/EOC CMS FDA HPMS Medicaid Medicare Part D

Indication-Based Formulary Design in CY2020

Beginning in the 2020 contract year (“CY2020”), the Centers for Medicare & Medicaid Services (“CMS”) will permit Part D sponsors to implement indication-based formulary designs that tailor formulary coverage of…

BluePeak AdvisorsSeptember 4, 2018

ANOC/EOC CMS EOC Marketing MCMG Medicare Uncategorized

CMS to Provide Training on the New Medicare Communications and Marketing Guidelines at Upcoming Fall Conference

As plans work through the biggest changes to the Medicare Marketing Guidelines since its inception – including changing the name of the guidance to the Medicare Communications and Marketing Guidelines…

BluePeak AdvisorsAugust 24, 2018

Call Letter CMS Medicare Part C Part D

Top Three Things Plans Need to Know to Manage and Improve Star Ratings

The release of the 2019 Call Letter, which allows plans to include quality improvement and member intervention costs in their bid, signals the Centers for Medicare and Medicaid Services’ (CMS’)…

BluePeak AdvisorsJune 26, 2018

Part D Podcast

BluePeak Podcast: Part D Benefit Changes on the Horizon and What does It Mean

One of the biggest Part D changes revealed in the 2019 Call Letter was the closure of the Coverage Discount Gap Program a year earlier than scheduled. As a result,…

BluePeak AdvisorsJune 17, 2018

ICYMI – BluePeak’s Articles posted recently on LinkedIn

BPA Connection Matches Healthcare Job Seekers and Employers - https://www.linkedin.com/feed/update/urn:li:activity:6380517376378564608 BluePeak’s End-to-End Part C Claims Processing Audit Finds Deficiencies BEFORE CMS Does - https://www.linkedin.com/feed/update/urn:li:activity:6381527793406083073 BluePeak Shares “2019 Final Call Letter…

BluePeak AdvisorsJune 7, 2018

CMS EOBs

BluePeak Service Spotlight: Member Material Review

BluePeak’s consultants have experience reviewing member materials from their work at Plans and for the Centers for Medicare and Medicaid Services (CMS). We can help you populate and/or review the…

BluePeak AdvisorsJune 7, 2018