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RBI Newsroom

Feb 1, 2023

CMS Proposed changes to Stars and MA Risk Adjustment for 2024

Proposed changes could impact MA plan capitation rates and Part C and Part D payment policies for calendar year 2024. Changes could also impact Part C and Part D Star Ratings to reflect the latest regulations.

Jan 30, 2023

CMS Issues RADV Final Rule

Risk Adjustment Data Validation (RADV) final rule strengthens Medicare Advantage and restores payment oversight program

Dec 11, 2022

Johns Hopkins ACG SDOH

Social Needs Markers: what are they and why are they important?

Dec 7, 2022

CMS proposes rule to overhaul the prior authorization process: 5 things to know

The Centers for Medicare & Medicaid Services (CMS) on Tuesday issued a proposed rule that aims to streamline prior authorizations and improve patient and provider access to health information.

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