Managed Care Year-End Recap
Key issues, trends and regulatory updates affecting the Medicare Advantage, Managed Medicaid and Commercial marketplaceSubscribe
November 04, 2022—Medicare Advantage enrollment reached 28.4 million in 2022, accounting for 48% of potential enrollees and 55% ($427 billion) of total Medicare spending.
August 22, 2022—We highlight the heightened regulatory environment associated with RAF scores and the importance of documentation to ensure accurate RAF scores.Transparency in Coverage Rule Is Only the Beginning
December 01, 2022—The Transparency in Coverage final rule, applicable to commercial insurers, follows the Hospital Price Transparency rule by 18 months.Recent CMS Actions on State Requests to Control Medicaid Drug Expenditures
November 10, 2022—Outpatient prescription drugs are an optional Medicaid benefit, yet all 50 states provide the benefit as a key component of comprehensive medical coverage.Spotlight on Recent Federal Regulatory Actions Open for Public Comment
November 18, 2022—CMS’ proposed rule to streamline eligibility processes in Medicaid and solicitation of public comment on the creation of a national provider database.Star Ratings: What’s Ahead
November 03, 2022—As Q4 approaches Medicare enrollees look forward to the Star Ratings tool, the tool that measures an enrollee’s experience with a health plan.Federal Regulatory Tracker
November 22, 2022—FTI Consulting’s regulatory tracker highlights select anticipated or pending U.S. Department of Health and Human Services actions that may impact Medicare.