Winter 2024 Archives - BluePeak Advisors

CMS PACE Part C Part D Winter 2024

Proposed Rule Re: Medicare Program

Proposed Rule Re: Medicare Program; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive…

BluePeak AdvisorsDecember 11, 2024

CMS HCC OIG Winter 2024

Risk-Adjustment Data Validation Readiness: Key Strategies for Compliance

Did you know that there are publicly accessible resources identifying highly scrutinized Hierarchical Condition Category (HCC) codes that may be problematic for your plan? Did you know there’s an annual…

BluePeak AdvisorsDecember 11, 2024

Part D Utilization Management Winter 2024

Navigating the Future of Utilization Management Requirements

As 2024 comes to a close, the Centers for Medicare & Medicaid Services (CMS) Utilization Management (UM) requirements remain as high priority, and 2025 brings with it new considerations for…

BluePeak AdvisorsDecember 11, 2024

IRA MPPP Winter 2024

Medicare Prescription Payment Plan – Are you ready for it?

The Inflation Reduction Act (IRA) introduced several changes to the Medicare landscape. One of the biggest changes that impacts members and plans alike is the Medicare Prescription Payment Plan (MPPP)…

BluePeak AdvisorsDecember 11, 2024