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Executive Brief | November 2, 2023

2024 Star Rating Analysis: The Story Lies Beyond the Outliers

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Introduction The recent publication of 2024 Medicare Advantage (MA) Star ratings confirmed that the regulatory and operating environment for this program will challenge health plans (especially compared to past years) as the Centers for Medicare and Medicaid Services (CMS) shifts…

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Executive Briefing | July 26, 2023

2024 AEP: The Most Competitive Marketing Season Ever

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As Medicare Advantage Organizations (MAOs) get ready for the upcoming Annual Enrollment Period (AEP), they should proactively prepare for one of the most competitive marketing seasons to date. The cumulative impact from changes in payment rates; regulatory pressure on Third…

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Executive Briefing | November 30, 2021

Data to the People, by the People, for the People

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Health plans are undergoing a transformation as they evolve their capabilities and business models to not only use data in new and innovative ways, but also cope with the increasing volume, variety and velocity of data. Given the impact COVID-19…

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