Article
18 December 2025 - by Michael J. Polakowski, Jay Cain, Lance Anderson
We offer some considerations for Medicare Advantage organizations on whether to offer a chronic condition special needs plan (C-SNP).
Article
26 March 2024 - by Lindsy Kotecki, Michael J. Polakowski
With the growth of value-based insurance design in the Medicare Advantage market, we outline the landscape for this year and offer insights for 2025 and beyond.
Video
22 February 2023 - by Michael J. Polakowski, Ryan Swenson, Sam Shellabarger
Join us for a discussion of regulatory and guidance updates impacting 2024 MAPD bids including draft BPT changes and proposed rule impacts.
Article
04 November 2021 - by David Koenig, Rob Pipich, Michael J. Polakowski
Deferred or avoided care in 2020 can cause lower risk scores and revenue in 2021, which needs to be considered when developing projections for 2023
Article
11 August 2020 - by David Koenig, Rob Pipich, Michael J. Polakowski
Medicare Advantage organizations face unique challenges during the COVID-19 pandemic.
Article
23 October 2017 - by Lynn F. Dong, Scott Jones, Michael J. Polakowski
From an operational and financial perspective, natural disasters can have significant effects on healthcare providers, insurers, and payers.
Article
21 February 2017 - by Drew Osborne, Christopher Kunkel, Lynn F. Dong, Michael J. Polakowski, Noah Champagne, Charlie Mills
While MACRA primarily affects Part B clinicians, there are numerous implications, synergies, and opportunities for Medicare Advantage plans.
Article
16 February 2017 - by Nicholas Johnson, Michael J. Polakowski, Todd Wanta
One of the most important ways plan sponsors can lower pharmacy costs is to look for ways to improve their pharmacy benefit manager contract.
Article
25 January 2016 - by Nicholas Johnson, Michael J. Polakowski
This article summarizes the proposals, released December 18, 2015, by the Senate Finance Committee that, if adopted, would have a wide-ranging impact on traditional Medicare, Medicare Advantage, and Medicare accountable organizations.