Riding Off Into the RAPS Sunset

“Every sunset is an opportunity to reset.” – Richie Norton “Sunsets are proof that no matter what happens, every day can end beautifully.” – Kristen Butler “Beautiful sunsets need cloudy skies.” – Paulo Coelho Most of us can appreciate the beauty and splendor of a beautiful sunset and all that it represents, such as the…

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Health Insurance Exchange Quality Ratings System

Did you notice that during the current 2020 Open Enrollment Period (OEP), federal and state-based exchanges are publicly displaying their Five-Star Quality System (QRS) rating information on exchange health plans? The goal of the QRS is to increase transparency and competition by providing comparative information for consumers as they shop and select plans. The Centers…

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Is Your Team Ready for the Public Charge?

Fear and confusion have caused immigrants to disenroll from government programs or forgo benefits for which they are eligible. According to a December 2018 nationwide survey, about one in seven adults in immigrant families did not participate in a government program for fear of risking future green card status.1   What is causing this? “Public…

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Section 1115 Medicaid Demonstration Waivers: Redefining Medicaid

There is a lot going on with Medicaid these days, but the biggest change may be with Section 1115 Medicaid Demonstration Waivers for work or community engagement. We frequently read or hear the terms “work requirement” and “community engagement” interchanged. For the most part, they are the same type of requirement. A state makes the…

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Centauri CEO Adam Miller Named EY Entrepreneur Of The Year®2019 Award Finalist

Miller among select leaders recognized in Mountain Desert Region  SCOTTSDALE, AZ (June 19, 2019) – Centauri Health Solutions Founder and CEO Adam Miller has been selected as an EY Entrepreneur Of The Year® 2019 Award finalist for the Mountain Desert Region, encompassing Arizona, Colorado and New Mexico. The Entrepreneur Of The Year program is widely…

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Social Determinants of Health Opportunities: In Practice and In Policy

Social determinants of health (1) as a measurement of a person’s, or a population’s, overall health emerged in the last decades of the 20th century and have now become a recognized metric in US healthcare delivery.   In the still-ongoing process of improving the overall access and quality levels in American healthcare, social determinants, or…

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CMS Best Practices Toolbox Snapshot

This is an overview on how to expand your Risk Adjustment renovation toolbox, so you can better construct and implement your data submission program. The following are the tools and strategies needed to implement the 12 CMS Best Practices and help ensure program success. Tool #1 – Magic Bullet – Analyze transactional reports to track,…

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Centauri Health Solutions Achieves HITRUST CSF® Certification

HITRUST CSF Certification validates a commitment to meeting key regulations and protecting sensitive information SCOTTSDALE, AZ (April 15, 2019) – Centauri Health Solutions, a healthcare technology and services company powered by analytics, announces its Risk Adjustment and Quality software and service platform has earned Certified status for information security by HITRUST. HITRUST CSF Certified status…

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Tools to Reduce System and Submission Errors – Best Practice Toolbox for Risk Adjustment Implementation, Part 3

Tools to reduce system and submission errors Part three of a four-part series of CMS Best Practices Implementation Centauri Health Solutions’ Director of Product Strategy – Dawn Carter

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