Strengthening Cyber Resilience: Inovaare’s HITRUST r2 Certification Fortifies Healthcare Data Security
The recent cyberattack on a major healthcare IT vendor, as outlined in the letter from the U.S. Department of Health […]
Health Cloud Platform
CMS Program and Focus Audits: Are You Prepared?
Starting January 2024, the Medicare Parts C and D Oversight and Enforcement Group of the Centers for Medicare & Medicaid
Medicare Advantage Compliance: Lessons from High-Stakes Penalties
In recent news, the healthcare industry has been abuzz with significant developments that carry vital lessons for Medicare Advantage plans,
The Transformative Power of GenAI in Healthcare Compliance and Operations
As a former U.S. healthcare operation management professional, I understand the complexities and dynamic nature of the healthcare compliance landscape.
Will Reporting Medical Loss Ratio (MLR) Constrain Payments to Medicare Advantage Plans?
Medicare Advantage plans (MAO) have been increasingly popular, with Medicare-eligible beneficiaries enrolling 51% of the eligible population in 2023, taking
Regulatory Changes for PDE Reporting in CY 2024 and Beyond
On October 13, 2023, the Centers for Medicare & Medicaid Services (CMS) published the Readiness List for CY 2024. This
The Inovaare – MongoDB Partnership: Unlocking Excellence in Healthcare Compliance
In a world of evolving healthcare regulations, compliance isn’t just a mandate – it’s a cornerstone of success for payers
Enhancing Vendor Management Oversight: The Role of Technology Solutions in Health Plans
In the ever-evolving landscape of healthcare, health plans are realizing the importance of leveraging technology solutions to improve their Vendor
Optimizing Appeal Decisions
Medical Directors need relevant Information. Health plans must identify the key pieces of information Medical Directors will need in order
Monitor Improper Payments for Part C and Part D with Medicare Audit and Monitoring Software
The monthly premium for Medicare Part B rose 14.5%, from $148.50 in 2021 to $170.00 in 2022, which is partly