Consultant Corner Archives - BluePeak Advisors

Audits Consultant Corner Summer 2024

Consultant Corner: Updates to the Plan Communication User Guide That Require Attention

Meryl Chick is a Consultant with BluePeak Advisors, a division of Gallagher Benefit Services, Inc. Are you monitoring the Batch Completion Status Summary (BCSS)? If the answer is no and…

Meryl ChickJune 24, 2024

Audits Consultant Corner Spring 2024

Consultant Corner: “See One, Do One, Teach One”

Lisa B. Barker MBA, BSN, RN, CCM is a Senior Consultant, Part C Lead with BluePeak Advisors, a division of Gallagher Benefit Services, Inc. “See One, Do One, Teach One”…

Lisa BarkerMarch 13, 2024

Consultant Corner June 2023

Consultant Corner: Importance of Accurate Member Marketing Materials

Jill Pepe is a BluePeak Senior Consultant and Marketing Material Review Lead The Centers for Medicare and Medicaid Services (CMS) Annual bid process and timeline is one constant plan Sponsors…

Jill PepeJune 1, 2023

Consultant Corner February 2023 MA

Consultant Corner: Does Requiring Prior Authorization from Contracted Providers Benefit or Burden Medicare Advantage (MA) plans?

Lisa Barker is BluePeak Part C Lead Providers, Industry Groups and the Office of Inspector General (OIG) have been very vocal about concerns for prior authorization requirements creating barriers that…

Lisa BarkerFebruary 3, 2023

Consultant Corner IRA

Consultant Corner: Inflation Reduction Act Implementation Best Practices and Planning for the Future

Jeff Baker, is a BluePeak Senior Health Plan Services Consultant. On August 16th, the Inflation Reduction Act of 2022 (IRA) was signed into law. The text of the bill is…

Jeff BakerDecember 12, 2022

Consultant Corner November 2022 ODAG

Consultant Corner: Do Your ODAG Universes Have Integrity?

Jaymie Billbrough, RN, is a BluePeak senior health plan services consultant. Prior to 2022, The Centers for Medicare and Medicaid Services (CMS) provided Sponsoring Organizations (SO) with a 20% “margin…

Carmen WintersDecember 1, 2022

Consultant Corner

Want to know what you missed if you didn’t receive an audit notice in 2022?

Carmen Winters, a BluePeak senior consultant, provided 2022 CMS program audit support to many clients. Read about her observation regarding CMS auditor focus on Quality of Care during the 2022…

Carmen WintersOctober 17, 2022