21st Century Cures Act

CMS Releases Risk Adjustment Advance Notice Early For MA Plans

September 16, 2020 - In the first part of its Advance Notice for calendar year 2022, CMS has proposed completely phasing in the CMS-Hierarchical Condition Categories (HCC) for Medicare Advantage risk adjustment, finalizing the switch to encounter data. The fully phased-in model would use encounter data only in order to report patient treatment and products. For the...


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Top 3 Health Insurance Industry Headlines of December 2016

by Vera Gruessner

Now that the final month of the year is wrapping up and everyone is planning their New Year’s celebrations, a review of the most popular headlines for the health insurance industry may be...

How the 21st Century Cures Act will Impact Healthcare Payers

by Vera Gruessner

Last week, the House of Representatives passed the 21st Century Cures Act by 392-26 votes. The 21st Century Cures Act affects the health insurance market through a provision that establishes small...