Viewpoints Blog

Through Member collaboration, MCRA helps drive performance improvements, deliver exceptional service, transform care, and champion the health and wellbeing of the communities we collectively serve.

The Medicare Prescription Payment Plan: New 2025 Requirements Create Complex Operational Challenges for Health Plans

M3P isn’t just about payment flexibility, it’s about making healthcare more accessible, understandable, and member-friendly. Command Direct breaks down the mandate.

Oct 1

Return Mail and CMS Audits: What You Don’t Track Can Hurt You

When mail is returned undelivered without a resolution process, it’s a red flag for auditors. Learn how Command Direct helps health plans build audit-ready return mail processes that track, resolve, and secure every communication.

Sep 16

CMS Modifies Part D Premium Stabilization Demonstration

CMS released key Medicaid Part D bid information for CY 2026. Read Avalere Health's in-depth analysis to learn the key impacts.

Aug 8

Navigating the New CMS Compliance Landscape: Supplemental Benefits Communication in the Age of Accountability

The CMS Final Rule is rapidly transforming Medicare Advantage communications. Command Direct breaks down what the "accountability era" means for Medicare Advantage and how to build systems that adapt to future regulatory changes.

Jul 30

CMS’s RADV Strategy Will Reverberate Throughout Health Plan Operations

Avalere Health and DRG Claims Management explore how Medicare Advantage plans must take a coordinated, organization-wide approach ahead of CMS' new risk adjustment data validation (RADV) strategy in a recent MHE article.

Jul 16

AI in Healthcare: A Powerful Tool, Not a Regulatory Hall Pass

The adoption of AI within the healthcare industry is accelerating fast, but compliance still matters. Circle shares the rules that impact AI and what's shifting at CMS.

May 27

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