Managed Care Resource Alliance (MCRA)

To prepare for CMS’ new risk adjustment data validation (RADV) strategy, Medicare Advantage plans must take a coordinated, organization-wide approach.

The authors provide a detailed framework for assessing the adoption of artificial intelligence.

Facing a variety of financial pressures, health plans need to take a measured approach to identify supplemental benefit strategies that facilitate their success.

Michael Lutz, managing director of Avalere, shares his prediction for the year.

Because of the recent decline in the star ratings published by CMS, it is critical for Medicare Advantage plans to achieve high star ratings.

Artificial intelligence stands out as a particularly promising solution to the challenges of improving health literacy.

COBRA coverage is not currently considered creditable coverage, so some seniors face Part B penalties. That needs to change.