Avalere Launches Video Series on Medicare Advantage Risk Adjustment, Stars Ratings, and Plan Compliance

Avalere's new explainer video series addresses regulatory changes affecting health plans, with episodes covering Medicare Advantage risk adjustment methodology shifts, the Clover Health Stars lawsuit implications, and heightened federal program integrity enforcement. While focused primarily on Medicare Advantage rather than Medicaid managed care, the compliance and regulatory themes—particularly around fraud, waste, and abuse oversight—have parallel implications for Medicaid MCO operations and state oversight strategies.

Managed Care

This is outside commentary from Avalere, not part of Medicaid Monitor's independently scored news coverage.

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