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The Stars Impact of the CY2019 CMS Final Call Letter

The Stars Impact of the CY2019 CMS Final Call Letter

Guest blog contributor:

Rex Wallace - Principal, Rex Wallace Consulting, LLC

On April 2nd, The Centers for Medicare and Medicaid Services (CMS) released the Announcement of Calendar Year (CY) 2019 Medicare Advantage Capitation Rates and Medicare Advantage and Part D Payment Policies and Final Call Letter. The entire document is a behemoth which includes important information about CY2019 for Medicare Advantage plans across a variety of topics. This paper will focus solely on the impact on Star Ratings.

The release of the Final Call Letter is one of a series of key milestone dates leading up to October 11, 2018, when CMS releases Star Ratings for each Medicare Advantage organization to the public.

New Diabetic Guidelines Aim to Improve Diabetic Care but Differ, Causing Confusion

New Diabetic Guidelines Aim to Improve Diabetic Care but Differ, Causing Confusion

Barbara Rutkowski, EdD, MSN, CCM - Vice President, Clinical Operations, Advanced Plan for Health

All entities managing health plans – self-insured employers, health plans, brokers and more – need to take note of the impact of diabetes on the health of their members and the financial bottom line of their health plans. Particular focus needs to be put on the recent changes to care guidelines for diabetic control as they aim to improve diabetic care – but differ –  which is causing confusion.