BluePeak Advisors, Author at BluePeak Advisors

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

MA Part C Part D Star Ratings

Early Release of Medicare Advantage and Part D Advance Notice: Part C & D Star Rating Changes

CMS published Part I of the Advance Notice of Methodological Changes for Calendar Year (CY) 2022 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies…

BluePeak AdvisorsDecember 18, 2020

CMS COVID19 HPMS

CMS Releases a Flurry of Interim and Final Rules

CMS released several interim and final rules in the past month. As the new year starts and there is a change in administration, the pace of new guidance releases is…

BluePeak AdvisorsDecember 18, 2020

Claims CSR Formulary Part D

Senior Savings Model-Tips for a Successful Implementation

Participation is expected to be strong in the Part D Senior Savings Model launch on 1/1/21 with 1,750 plans across 88 sponsors and 3 manufacturers participating in the program. Participating…

BluePeak AdvisorsDecember 18, 2020

FDA

Unapproved Drugs Initiative Terminated On November 20, 2020 The Department of Health and Human Services terminated the Unapproved Drugs Initiative. The 2006 Unapproved Drug Initiative requires manufacturers to submit drugs…

BluePeak AdvisorsDecember 18, 2020

Audits CMS

Contract Year 2021 Monitoring of Posted Comprehensive Formularies

On November 2, 2020, CMS released the results of the CY2020 Monitoring of Posted Comprehensive Formularies or their Posted versus Approved (PvA) analysis. For the CY2020 analysis, CMS announced that…

BluePeak AdvisorsNovember 24, 2020

Compliance

Avoiding a Perfect Storm-Proactive Testing and Claims Oversight is Key

The most effective way for any plan to avoid member disruption and compliance risks for the new plan year is to establish a process to validate the accuracy of the…

BluePeak AdvisorsNovember 24, 2020