These special enrollment periods may occur if an enrollee gains or loses Medicaid coverage, if an enrollee is admitted to an SNP and switches to an institutional contract, or if an enrollee is diagnosed with a chronic condition that can fall under an SNP or a PACE (Programs of All-Inclusive...
Star Ratings are calculated at the contract level and apply to all plans that fall under the contract, regardless of quality differences between the individual plans. A plan that gets consolidated into an existing contract receives a Star Rating and quality bonus based on the score o...
may have indirect consequences on other prices. While drug prices paid by Medicare beneficiaries may fall in the short run, overall drug prices may increase in the long run for other consumers, specifically
(utilizing dementia and depression screening); through appropriate medication management, including considering the deprescribing of unnecessary medications; via mobility testing (e.g., fall risk assessment); and by addressing what matters to the patient’s general well-being [8] as part of the care...