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Compliance Insights November 2014 – Important Reminders, 2015 Readiness Checklists, and Chapter 4 Update

  • Request for Comments: Enhancements to the Star Ratings for 2016 and Beyond – On 11/21/14 CMS released the proposed methodology enhancements and changes for the 2016 Star Ratings for Medicare Advantage (MA) and Prescription Drug Plans (PDPs). Sponsors and other stakeholders should actively participate by submitting comments regarding the potential changes to the Star Ratings methodology or submit additional comments to propose other changes not mentioned. Click here to submit comments.Comments submitted by Wednesday, 12/17/14 at 5pm ET will be considered as CMS finalizes proposed changes for the 2016 Star Ratings for the draft 2016 Call Letter. To read more, please click here.

Marc Ryan

Marc S. Ryan serves as MedHOK’s Chief Strategy and Compliance Officer. During his career, Marc has served a number of health plans in executive-level regulatory, compliance, business development, and operations roles. He has launched and operated plans with Medicare, Medicaid, Commercial and Exchange lines of business. Marc was the Secretary of Policy and Management and State Budget Director of Connecticut, where he oversaw all aspects of state budgeting and management. In this role, Marc created the state’s Medicaid and SCHIP managed care programs and oversaw its state employee and retiree health plans. He also created the state’s long-term care continuum program. Marc was nominated by then HHS Secretary Tommy Thompson to serve on a panel of state program experts to advise CMS on aspects of Medicare Part D implementation. He also was nominated by Florida’s Medicaid Secretary to serve on the state’s Medicaid Reform advisory panel.

Marc graduated cum laude from the Edmund A. Walsh School of Foreign Service at Georgetown University with a Bachelor of Science in Foreign Service. He received a Master of Public Administration, specializing in local government management and managed healthcare, from the University of New Haven. He was inducted into Sigma Beta Delta, a national honor society for business, management, and administration.

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