BluePeak Advisors, Author at BluePeak Advisors

EHR EMR MPF Part C Part D Star Ratings

What are you doing to improve your Star Ratings?

As you checked your plan data that will be displayed on Medicare Plan Finder (MPF) for accuracy during the recent second plan preview, were you happy with your Star Ratings?…

BluePeak AdvisorsSeptember 21, 2018

CMS MAT Medicare MME Opioids Part D PBM

CMS Continues to Deploy Revised Strategies to Assist with Identifying and Deterring Opioid Abuse

To assist Medicare Part D sponsors with monitoring efforts and potentially avoid overutilization of opioids in the elderly Medicare population, CMS has deployed numerous strategies over the past several years…

BluePeak AdvisorsSeptember 21, 2018

ICYMI – BluePeak’s Articles Posted Recently On LinkedIn

Looking for more articles and insight from us? Head over to our LinkedIn page to discover more. Here are some of the recent articles posted there: BluePeak discusses the impact…

BluePeak AdvisorsSeptember 21, 2018

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