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Part 2: Special Needs Plans (SNPs) and Non-Medical Transportation: How Vulnerability Influences Coverage
In recent years, Medicare Advantage Special Needs Plans (SNPs) have begun to offer non-medical transportation as a supplemental benefit....
Mar 273 min read
Alignment: The Key to Seamless, Accurate MA Risk Adjustment Payments
In the world of Medicare Advantage (MA), data alone doesn’t guarantee payment—the data must be captured, submitted, accepted, filtered,...
Mar 273 min read
The Overlooked Secret to Quality in Medicare Advantage Risk Adjustment: Love
When we talk about Medicare Advantage Risk Adjustment, the conversation typically centers on diagnoses, codes, reimbursements, and...
Mar 273 min read
The 7 Habits of an Effective Medicare Advantage Risk Adjustment Program
Ensuring a successful Medicare Advantage (MA) risk adjustment program is no small feat. It requires consistent oversight,...
Mar 272 min read
Part 1: Transportation as a Social Determinant of Health (SDOH): How Medicare Advantage Plans Are Responding
As we inch closer to the 2025 Medicare Advantage (MA) Open Enrollment period, one benefit that’s garnering attention is non-medical...
Mar 273 min read
Donabedian Model for Risk Adjustment Success: Building a Solid Foundation for MA Plans
In the world of Medicare Advantage (MA) risk adjustment, achieving fair, accurate, complete, and timely payments can feel like juggling...
Mar 273 min read
The Risk Adjustment Iceberg: Uncovering the Hidden Layers of Medicare Advantage Success
When it comes to Medicare Advantage (MA) risk adjustment, what you see isn’t always what you get. Picture an iceberg: the visible portion...
Mar 273 min read
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