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CMS Issues RADV Methodology for Comment

Client Alert | less than 1 min read | 12.22.10

CMS has issued for review and comment its draft proposed risk adjustment data validation (RADV) extrapolation/payment error calculation methodology applicable to Medicare Advantage organizations. Click here for a copy of the draft. Comments are due January 21, 2011. We will provide an analysis of the proposed methodology in the near future. In the meantime, please contact Christine Rinn if you have any questions.

Insights

Client Alert | 7 min read | 06.26.26

Federal Roundup: Updates for PBMs and Medicare Advantage Organizations

In June 2026, federal regulators and lawmakers continued their efforts to improve drug affordability through targeted reforms. These recent developments will primarily impact pharmaceutical manufacturers, managed care organizations, and pharmacy benefit managers (PBM) serving Medicare Part D program members. PBMs, Medicare Advantage organizations, and Part D sponsors should monitor these changes in the interest of maintaining compliance and providing input on regulatory proposals that may influence their business operations or compensation structures in the future....