A new study shows that dually eligible Medicare Advantage enrollees received poorer clinical care than those who were not dually enrolled.
The Centers for Medicare and Medicaid Services (CMS) Office of Minority Health (OMH) released a report this week based on analysis of Healthcare Effectiveness Data and Information Set (HEDIS),...National News
Despite efforts from the Centers for Medicare and Medicaid Services (CMS) to curb hospital readmission for traditional fee-for-service Medicare, a new study suggests Medicare Advantage (MA) enrollees are showing higher rates.
CMS only factors in fee-for-service Medicare user data when calculating readmission rates and does not...National News
The Healthcare Effectiveness Data and Information Set (HEDIS) is a popular performance improvement tool among health plans, for which four new measures were released by the National Committee for Quality Assurance (NCQA) for 2019.
According to the NCQA, the updates address "emerging health priorities and evolving processes in care...