Since its inception, BluePeak has been committed to making the complicated world of government-sponsored healthcare programs easier to navigate. BluePeak employees pride themselves on delivering outstanding consulting services to our varied clients through our motto of Knowledge, Experience, and Trust. Read through our past articles from our quarterly newsletters, news alerts, ad hoc insight articles, and Case Studies.
STAY IN THE KNOW
BluePeak Insights
Check out our recent insights
What Medicare Advantage Plans Need to Know About OIG’s Latest Oversight Priorities
Understand OIG's newest Medicare Advantage compliance priorities and what health plans should do now to strengthen oversight and reduce regulatory risk.
Read More
Preparing for the Medicare GLP-1 Bridge Program
The Medicare GLP-1 Bridge Program introduces a new member access pathway outside the Part D benefit. Here's how plans and PBMs can prepare their operations and call centers.
Read More
BluePeak News Alerts
- February 23, 2026Preparing for the Future of PACE Audits: Are You Ready for 2026?
- February 18, 2026HRSA’s latest Request for Information (RFI) offers a significant opportunity for stakeholders to help inform the development of a 340B Rebate Model Pilot Program.
- January 29, 2026CMS Releases Advance Notice: Flat MA Payments, Tighter Star Measures, and Greater Emphasis on Outcomes — Here’s What It Means for Plans
- January 6, 2026Intense Grievance Monitoring
Stay Informed. Sign Up Today!
Get the latest news and regulatory updates through our quarterly newsletter, News Alerts, ad hoc insight articles, and Case Studies. Subscribe today and get these BluePeak publications directly to your inbox.
Read our previous insights.
Medicare Part D Redesign: Navigating the Changes in 2025
The Inflation Reduction Act (IRA) is poised to bring a significant transformation to the Medicare Part D benefit starting in 2025. This redesign will impact many stakeholders, including Part D…
Read More
Understanding Non-Quantitative Treatment Limitations (NQTLs) and How BluePeak Advisors Can Help
In the evolving landscape of healthcare coverage, ensuring parity between mental health/substance use disorder (MH/SUD) and medical/surgical (Med/Surg) services is crucial. The Mental Health Parity and Addiction Equity Act (MHPAEA)…
Read More
Important: Opportunity for PACE Organizations to Comment on CMS Proposed Updates
CMS has announced a 30-day comment period for the proposed collection entitled “The PACE Organization (PO) Monitoring and Audit Process” (CMS-10630; OMB control number: 0938–1327). This notice was published on…
Read More
2025 Audit Insights: Elevating Call Center Performance with FCR and QOC Grievance Management
Member service representatives are the heart of a health plan. Their engagement with members significantly influences a member's perceived experience with the plan and their care journey. For a Medicare…
Read More
The Model of Care Overhaul You Can’t Afford to Delay: Why 2025 Demands a Mock Audit Mindset
If your Model of Care (MOC) was written before 2025, it’s already outdated. With the release of the Centers for Medicare and Medicaid Services’ (CMS) draft MOC model documents, the…
Read More
Navigating CMS Audits: Strategic Preparation for 2026
As you may have heard, the CMS Program Audit season has been slower this year due to contracting award issues affecting the pace. Despite this temporary slowdown, CMS's commitment to…
Read More
Mock Audits – Stress-Test Before CMS Does
Member service representatives are the heart of a health plan. Their engagement with members significantly influences a member's perceived experience with the plan and their care journey. For a Medicare…
Read More
Knowledge. Experience. Trust.
These aren’t just words—they’re the foundation of everything we do.
