Question: what are the basic elements and requirements for private Medicare Advantage plans? What are the basic elements and requirements for private managed Medicaid plans? Explain

what are the basic elements and requirements for private Medicare Advantage plans?

What are the basic elements and requirements for private managed Medicaid plans?

Explain the difference between plans serving the typical Medicare and/or Medicaid population and those serving beneficiaries who have special needs and/or who are dual eligibles.

What are the key legal and regulatory issues in the government entitlement programs that affect private managed care plans?

What are the unique key aspects of how Medicare pays Medicare Advantage plans?

Explain at a high level the basics of the Medicare Quality Bonus Payment Program, also called Medicare Stars or simply as Stars.

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