Medicare Advantage Toolkit

On June 29, 2018, CMS announced it was advancing its demonstration to waive MIPS requirements for clinicians in certain at-risk Medicare Advantage plans. This toolkit includes comments from Simon Moody at Milliman, Simon's recent presentation to Alliance members regarding MACRA and the QPP, and other valuable information on trends in MA, alternative payment models (APM) and MACRA.

Interested in learning more? Review all the presentations shared at the 2018 Co-located: Government Programs AND Risk, Compliance, Privacy and Security Value Visit.

NOTE: You must login to your Alliance account to access the articles and resources below. Some content may only be accessible to Alliance members.


  • 7/9/2019
  • Quartz Medicare letter for COB
  • Quartz Health Solutions shares an example of a member communication about Medicare, referencing their Medicare Information form and requesting its completion.
  • 4/1/2019
  • 2020 Medicare Communications and Marketing Guidelines
  • On March 21, 2019, the Centers for Medicare & Medicaid Services(CMS) issued an HPMS memo seeking comment on proposed changes to the Medicare Communications and Marketing Guidelines (MCMG). CMS is accepting comments on the proposed changes through April 4, 2019.The comment period for this proposed rule opened on March 4th and closes on May 3rd.
  • 10/12/2018
  • Chronic Care Management Services Fact Sheet
  • Shared by Health First Health Plans, this CMS fact sheet provides background on payable CCM service codes, identifies eligible practitioners and patients, and details the Medicare PFS billing requirements.