On the Record

"CMS could have twisted itself and everyone else into pretzels seeking to define a D-SNP look-alike. But instead, they propose an enrollment threshold, which is a much more straightforward approach."

— Former CMS official Michael Adelberg, a principal with Faegre Drinker Consulting, spoke with AIS’s RADAR on Medicare Advantage about CMS’s new regulations for D-SNP ‘look-alike’ plans, which can circumvent care coordination goals between Medicare and Medicaid agencies.