Compliance & Regulation Archives - Medecision Blog

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June 2, 2022 4 Core Competencies for Value-Based Care Success Read More

May 17, 2022 Zeroing In on CMS “Meaningful Measures” Targets Read More

May 3, 2022 Taking Action: How States Are Using Medicaid 1115 Waivers to Address SDOH Read More

April 26, 2022 Improving Health Plan Star Ratings Read More

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August 12, 2021 2021 Star Ratings: Bottom-Line Impact and Strategies Read More

July 21, 2021 Star Ratings Now Focused on Member Experience Read More

June 24, 2021 Pandemic Leads to Relaxed Penalties for HIPAA Violations Read More

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May 18, 2021 Star Ratings and the Need to Improve Consumer Experience Read More

March 26, 2021 The Prior Authorization Rule and Advancing Utilization Management Performance Read More

March 25, 2021 What the Interoperability and Prior Authorization Rule Means for the Patient Experience Read More

March 23, 2021 Managing the Appeals Process for Medicaid Populations Read More

March 11, 2021 Improving Compliance for Medicaid Populations Read More

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January 12, 2021 Final Updates to Stark Law Will Ease Transition to Value-Based Care Read More

December 4, 2020 Post-Election Healthcare Policy Implications Read More

July 21, 2020 Making Measurable Improvements in Healthcare Quality Read More

June 23, 2020 Medecision’s Path Toward MARS-E Compliance Read More

June 16, 2020 Proposed Stark Law Changes Reflect Move Toward Value-Based Care Read More

May 26, 2020 CMS and ONC Interoperability Rules: What Do the Latest Updates and Enforcement Delays Mean for the Industry? Read More

March 18, 2020 Leveraging Utilization Management to Reduce Medical Loss Ratio Rebates Read More

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January 16, 2020 Mitigate Compliance Risks by Addressing These Key Documentation and Billing Challenges for Medicaid Managed Care Plans Read More

December 13, 2019 Automating Compliance in the Cloud Read More

December 5, 2019 New Rules From CMS Carry Heavy Weight for Payers Read More

October 1, 2019 Risk Sharing Requires Health Plans to Hone Utilization Management Process Read More

July 2, 2019 “Utilization Management” is all about saving health plans money. Or is it? Read More

July 2, 2019 Utilization management: What’s it got to do with population health? Read More

August 8, 2018 Medecision Launches Aerial UM Connector™ to Drive In-Network Referrals and CMS Reporting Compliance for Government Health Plans and TPAs Read More