In Compliance Today's August 2023 issue, Nelson Mullins Boston partner, Christine Burke Worthen, and Nashville associate, Lily Shannon, authored an article titled, "The RADV Final rule Overview and Considerations for Healthcare Providers who Participate in Medicare Advantage Plans", that focuses on what healthcare providers should consider when it comes to Medicare Advantage plans.

"Medicare Advantage (MA) plans provide Medicare Parts A and B benefits to over 30 million beneficiaries," Worthen and Shannon wrote. "The number continues to increase as MA plans gain popularity through the inclusion of such features as additional benefits (e.g., dental, vision, fitness, assistance with utility bills, healthy food), and low/no premium offerings. MA encourages providers to identify and treat illness in early stages to enable early intervention, coordinate care for those seeing multiple providers, and provide care management and disease management programs ... To ensure effective identification and treatment of beneficiaries with chronic illness, MA payments must accurately reflect the health status of MA beneficiaries."