Executive Summary 

Proposed Rule for Medicare Advantage Organizations

Confidently Navigate the Network Adequacy and Provider Data Changes

The latest proposed rule for Medicare Advantage Organizations is out, and we’re here to help you understand what it means for your organization.

In this executive summary, we’ll walk you through the new specialty types and new provider data elements that are being considered by CMS. We’ll also show you how these changes will affect the network adequacy requirements and provider directory data that MAOs must submit to CMS.

Don’t be caught off guard! Read our executive summary for a quick primer on the possible soon-to-be new rules.

Find More Medicare Advantage Resources

Looking for reliable ways to stay review-ready and compliant-confident with the Centers of Medicare & Medicaid Services (CMS)? Good news, you’ve come to the right spot! In our Medicare Advantage & Medicare-Medicaid Resource Hub, you’ll find our continuously expanding collection of best practices, team planning worksheets, videos and more that will help you succeed in achieving your Medicare Advantage goals. Explore the Hub

CMS Extends Contract With Quest Analytics

Deliver on tomorrow’s goals by planning today

We are committed to assisting our customers in their quest for accurate provider directories and adequate health networks that maintain appropriate access to care for your members.

Schedule a consultative session with one of our network management experts to discuss and determine your strategy.

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