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FY05 Protestors Achieve Effective Relief 37% Of Time At GAO

Client Alert | less than 1 min read | 01.27.06

GAO recently reported to Congress a 23% "sustain" (win) rate for protests decided in FY05. Even more impressive, GAO reported an "effectiveness" rate of 37%, meaning that, between winning the protest and having the agency concede error and take corrective action before a decision was rendered, protestors obtained effective relief in over one-third of the protests resolved last fiscal year.

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Client Alert | 2 min read | 03.27.26

CMS Releases PY 2020 RADV Audit Methods and Instructions: Key Takeaways for Health Plans

On March 20, 2026, the Centers for Medicare and Medicaid Services (CMS) released new guidance outlining the agency’s audit methods and instructions for Medicare Advantage (MA) plans subject to upcoming risk adjustment data validation (RADV) audits for payment year (PY) 2020. In addition to providing necessary context for MA plans selected for auditing, this resource clarifies CMS’s methodological and procedural expectations. While the high-level takeaways are recapped below for convenience, we strongly recommend that MA organizations selected for PY 2020 audits closely review the guidance to understand what may be involved — or required — during the agency’s review....