In an HPMS memo released late Thursday, the Medicare Drug & Health Plan Contract Administration Group announced updates to 2025 agent and broker compensation rates and submissions.
RISE
Hospitals and Health Care
Charlotte, North Carolina 10,236 followers
The premier community for health care professionals in accountable care and gov't health care reform
About us
Networking, Education, Industry Intelligence and Career Development RISE is the premier community for health care professionals who aspire to meet the extraordinary challenges posed by the emerging landscape of accountable care and government healthcare reform. Recognized industry-wide as the number one source for information on risk adjustment and quality improvement within health care, RISE strives to serve the community on four fronts: networking, education, industry intelligence and career development.
- Website
-
http://www.risehealth.org
External link for RISE
- Industry
- Hospitals and Health Care
- Company size
- 11-50 employees
- Headquarters
- Charlotte, North Carolina
- Type
- Educational
- Founded
- 2006
- Specialties
- Risk Adjustment, Healthcare Education, Networking, Healthcare Reform, Accountable Care, Career Development, and Industry Intelligence
Locations
-
Primary
3420 Toringdon Way
Charlotte, North Carolina 28277, US
Employees at RISE
Updates
-
RISE reviews the latest regulatory headlines: • DOJ: DaVita will pay $34M to settle allegations of illegal kickbacks • Kindred to pay $19.4M over fraud allegations • CMS releases more guidance on Medicare prescription drug coverage • Gallup Report: Nearly half of Americans can’t afford health care • CMS: No Surprise Act audit focuses on Aetna Health in Texas and air ambulance payments
Regulatory roundup: DaVita will pay $34M to settle allegations of illegal kickbacks; Nearly half of Americans can’t afford health care; and more
risehealth.org
-
Why Aren’t Falls Considered a Chronic Condition? Learn about how falls cost plans just as much as most major chronic conditions and how to stratify your member population by fall risk during tomorrow's #webinar with Nymbl Science.
Are Falls the Invisible Epidemic? | A RISE Webinar
risehealth.org
-
We are only 3 weeks away from the Member Engagement & Experience Symposium! Check out a few of the sessions and speakers that will help you create the ultimate member engagement strategy on August 5-6 in Orlando. Register Today: https://lnkd.in/g5U8pziy #RISEEngage24 #MedicareAdvantage #healthequity #qualityimprovement
-
-
Last Chance! Join us tomorrow for Remember the Member: Unveiling Hidden Health Influencers, a RISE #webinar in partnership with Episource. Get equipped with the tools to harness the power of analytics and drive member outcomes. https://buff.ly/3Kn0c9h
Remember the Member: Unveiling Hidden Health Influencers | A RISE Webinar
risehealth.org
-
Explore why industry veterans deem the current climate the most challenging yet and gain practical insights to optimize performance under these conditions during this #webinar with Advantmed's VP of Analytics & MMR Solutions, Jimmy Liu.
Why Succeeding at Medicare Risk Adjustment is Now Harder Than Ever | A RISE Webinar
risehealth.org
-
Although HHS and CMS say the proposed policies would increase value-based care and expand access to behavioral and oral health care, if finalized, physicians would face a cut in pay for the fifth year in a row. It also includes several provisions that would impact Medicare Advantage. The 2,248-page proposed rule will be published in the Federal Register on July 31. Comments are due by September 9. #MedicareAdvantage #valuebasedcare #behavioralhealth #riskadjustment
HHS: Proposed physician payment rule cuts doc pay but strengthens primary care
risehealth.org
-
We are less than a month away from The RISE Medicare Product Design Master Class! Check out some of the sessions and speakers you'll hear when you join us August 5-6 in Orlando. PLUS! The venue is a short walk away from the fun-filled world of Disney Springs® where you can discover more than 150 dining, shopping, and entertainment venues. What are you waiting for? See you in Orlando! https://lnkd.in/gCeKS8g9 #ProductDesign24 #MedicareAdvantage
-
-
#CompliancePalooza2024 will feature insights on the 2025 Medicare Advantage Final Rule, audit readiness techniques, health equity analysis of utilization management, and network adequacy. The virtual agenda is jam-packed with hot topics, and you can watch them all from the comfort of your home or office on September 3-4.
CompliancePalooza 2024: 4 sessions you don’t want to miss
risehealth.org
-
CMS on Wednesday released the 2025 Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center proposed rule. Here is an initial look at what’s included in the 984-page proposal. The proposed rule, which will be published in the Federal Register on July 22, affects roughly 3,500 hospitals and 6,100 ASCs. Comments on the proposal are due to CMS by September 9.
2025 OPPS Proposed Rule is out: CMS pitches policies to reduce maternal mortality, advance health equity, and support underserved communities
risehealth.org