Compliance & Regulation

What to Know About CMS’ Proposed Changes to Prior Authorization Rules

The sharpening focus of the healthcare industry and the federal government on prior authorization and interoperability is amping up the pressure on…

New Hospital Accreditation Standards for Health Equity

As the quest for health equity gains momentum, the nation’s oldest and largest healthcare evaluation and accreditation body has announced new standards…

4 Core Competencies for Value-Based Care Success

Value-based care is the future of healthcare in the U.S. These four core competencies can help guide your organization toward a model…

Zeroing In on CMS “Meaningful Measures” Targets

Meaningful Measures 2.0 goals are designed to facilitate the ongoing move toward value-based care, which targets issues including person-centered care, safety, chronic…

Taking Action: How States Are Using Medicaid 1115 Waivers to Address SDOH

These four states are taking a boots-on-the-ground approach to addressing social determinants of health. Subscribe to our blog Don’t forget to share…

Improving Health Plan Star Ratings

When you can align activities such as prior authorizations, utilization management and operational workflows with regulatory mandates for quality, timeliness, interoperability and…

2021 Star Ratings: Bottom-Line Impact and Strategies

The latest episode of Liberation Lab focuses on CMS changes to Star Ratings and what the shift in weights of different measures…

Star Ratings and the Need to Improve Consumer Experience

A game-changing revision to CMS rules for Star ratings puts Medicare Advantage plans under extra pressure to deliver an excellent customer experience….

The Prior Authorization Rule and Advancing Utilization Management Performance

The latest episode of Liberation Lab focuses on the prior authorization rule affecting utilization management. Julie Barnes, JD, Founder and Principal of…

What the Interoperability and Prior Authorization Rule Means for the Patient Experience

What does the new interoperability and prior authorization rule mean for the patient experience? Julie Barnes, founder and principal of Maverick Health…

Post-Election Healthcare Policy Implications

Liberation Lab turns its sights to the potential implications of the November 2020 election on US healthcare policy. Our expert guests include…

CMS and ONC Interoperability Rules: What Do the Latest Updates and Enforcement Delays Mean for the Industry?

CMS and ONC delays to enforcement give the industry a few additional months to prepare for major overhauls to ensure the appropriate…