Medicare Advantage (MA) plans now cover about half of Medicare beneficiaries, and with that enrollment growth has come increased scrutiny from federal and state regulators. In a new webinar, Manatt will review the latest regulatory, compliance and business developments shaping MA and discuss how plans can respond. During the webinar, Manatt Health will guide you through the complexities of today’s challenging MA regulatory and business landscape. Key topics include:
- Current market trends shaping the MA landscape
- Evolving risk adjustment enforcement under the False Claims Act and the Centers for Medicare & Medicaid Services (CMS) risk adjustment data validation (RADV) audit rules
- New rules and heightened scrutiny regarding plan and provider marketing practices
- The shifting terrain for determining medical necessity
- The expanded focus on health equity, social determinants of health and community-based organizations
View recording here