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5 selected articles

2017-01-19 - Centers for Medicare & Medicaid Services

Medicare Part D - Direct and Indirect Remuneration (DIR)


Medicare Part D - Direct and Indirect Remuneration (DIR)

Under Medicare Part D, Medicare makes partially capitated payments to private insurers, also known as Part D sponsors, for delivering prescription drug benefits to Medicare beneficiaries. Medicare relies on transaction data reported by Part D sponsors to make...

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Date: 2017-07-22 22:46:11

Coordination of Benefits - Centers for Medicare & Medicaid ...

Coordination of Benefits

The COB...

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Date: 2018-01-19 20:16:47

Dual Eligible Special Need Plans (D-SNP) - Centers for ...

D-SNP Marketing

In addition, please visit the Medicare Managed Care Manual (MMCM), chapter 16b, the Special Needs Plan FAQ and the State Resource Center FAQ; these resources may be accessed in the Download Section below. For more information on the D-SNP State Contracting process, please visit the State Resource Center which you can access from the left menu on this page.

D-SNPs are open to...

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Date: 2016-01-22 16:24:51

Provider Enrollment Regulation - Centers for Medicare ...


Provider Enrollment Regulation

In order to view an actual copy of any of the documents referenced below, please click on the hyperlink at the bottom of the page for the Federal Register. Once there, please select the year in which the final rule was published and click "GO". Please continue to select the day on with the final rule was published. Scroll through the contents until you...

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Date: 2018-03-19 16:11:53

2018-02-01 - Centers for Medicare & Medicaid Services

Expected Average Change in Revenue


1This table does not project the effect of underlying coding trend on risk scores.

2Rebasing/re-pricing impact is dependent on finalization of average geographic adjustment index and will be available with the publication of the 2019 Rate Announcement

The Expected Average Change in Revenue reported above does not include an adjustment for underlying coding...

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Date: 2018-02-01 23:14:35