Summer 2024 Archives - BluePeak Advisors

Audits CMS Summer 2024

Upcoming IRA Changes for 2025: Key Considerations for Year End Testing

Since its passage, the Inflation Reduction Act (IRA) of 2022 has ushered in changes to the Medicare Part D benefit each contract year (CY) and 2025 is no different. Now…

BluePeak AdvisorsJune 24, 2024

CMS D-SNP MMP Summer 2024

Understanding Dual-Eligible Special Needs Plans (D-SNPs): Your essential guide to types of D-SNPs and the impact of MMPs Sunsetting

In May of 2022, CMS finalized the rule that will sunset Medicare-Medicaid Plans (MMPs). This rule proposes that required states transition their MMP enrollees to integrated Medicare Advantage dual eligible…

BluePeak AdvisorsJune 24, 2024

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

Summer 2024 Utilization Management

2024 Utilization Management (UM)- Focused Audits: Lessons Learned

The annual Centers for Medicare and Medicaid Services (CMS) Audit Season has been in full swing since the beginning of the year with a focus on Utilization Management. CMS is…

BluePeak AdvisorsJune 24, 2024