BluePeak Advisors, Author at BluePeak Advisors

Claims Medicare

Why Medical Claims Audits?

In view of ever rising benefit costs, employers and Medicare Advantage plans should consider a medical claims audit as part of an overall benefits and cost-containment strategy. Medical claims audits…

BluePeak AdvisorsFebruary 9, 2022

Tips

Top 5 Tips to Prevent a Part D Transition Finding

Transition is highly scrutinized and frequently audited within the Medicare Part D program. For 2021, the Centers for Medicare & Medicaid Services (CMS) performed the Transition Requirements Analysis (TRA) to…

BluePeak AdvisorsDecember 17, 2021

Legal Summaries

Big Changes Ahead for Group Health Plans and Individual Health Plans

The following are summaries of Rules that contain big changes for group health plans and individual health plans. SummaryInterim Final Rule with Comment Period Requirements Related to Surprise Billing; Part…

BluePeak AdvisorsJuly 29, 2021

ACA CMS CSR FFE

Significant Changes Proposed for Qualified Health Plans

The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule titled “Patient Protection and Affordable Care Act; Updating Payment Parameters, Section 1332 Waiver Implementing Regulations, and Improving…

BluePeak AdvisorsJuly 12, 2021

HHS

HHS Comes Full Circle: Section 1557 Regulations Again Interpreted to Prohibit Discrimination Based on Sexual Orientation and Gender Identity

On May 25, 2021, the Department of Health and Human Services (HHS) announced that it would again interpret and enforce the Section 1557 of the Affordable Care Act (Section 1557)…

BluePeak AdvisorsMay 26, 2021

CMS HPMS MCMG

In Case You Missed It! CMS New Marketing Module Training–Big Changes Coming

On Friday May 28th, at 5pm ET, CMS will provide Plan Sponsors access to the new HPMS marketing module. The new marketing material module has enhanced functionality and will provide…

BluePeak AdvisorsMay 26, 2021

Medicaid

Proposed American Jobs Plan Includes Provision for Medicaid

On March 31, 2021, President Biden, as part of the White House American Jobs Plan, proposed to increase federal support for home and community-based care by $400 billion over eight years…

BluePeak AdvisorsMay 12, 2021

Uncategorized

Biden Administration Immediate Actions May Affect Health Plans

President Biden hit the ground running, signing a batch of Executive Orders just hours after he was sworn in as the 46th President of the United States. A couple of…

BluePeak AdvisorsJanuary 22, 2021

COVID19

A Message About COVID-19

COVID-19 is having a dramatic impact on our lives, businesses and health care system. We understand that information and circumstances are changing rapidly and that many of your team members are…

BluePeak AdvisorsJanuary 19, 2021

AEP

Medicare AEP is over and 2021 is right around the corner.

While compliance is a year-round expectation of the Centers for Medicare and Medicaid Services (CMS), plans are under even greater scrutiny by CMS and members alike at the beginning of…

BluePeak AdvisorsDecember 18, 2020