CMS to Test New Models for Medicare, Medicaid Dual Eligibles CMS is encouraging states to participate in new models targeted to Medicare and Medicaid dual eligible beneficiaries. By Jessica Kent CMS has issued a letter to state Medicaid directors inviting them to test new, integrated care models for...
Interim Compliance Officer
Virgilio Florentino began his career in managed care with FHP, Inc. in 1992. At that time, Virgilio decided to bring his skills in training and management development to the health care industry to create training programs, interpret federal and state regulations, and develop policies and procedures for various departments within the California division. His experience continued with FHP’s acquisition of TakeCare Health Plan where he worked to successfully integrate the operations divisions of both organizations.
In New York, Virgilio continued his managed care experience by joining Empire Blue Cross and Blue Shield as Director of Compliance. In this capacity, he successfully coordinated Empire’s Medicare Risk filing. Upon CMS’ approval of Empire’s Medicare Risk product, Virgilio’s responsibilities were expanded to manage Medicare Risk Compliance, Training, Enrollment, Verification, and Member Relations Departments.