Tag Archives: MEdicare Advantage

CMS axes a Medicare Advantage star rating measure: 5 things to know

CMS is removing a star rating unit for Medicare Advantage plans, according to its 2019 Rate Announcement and Call Letter. Continue reading

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CMS Finalizes Medicare Advantage and Part D Changes for 2019 – Medicare Rights Blog

This week, the Centers for Medicare & Medicaid Services (CMS) released the final Medicare Advantage and Part D 2019 Rate Announcement and Call Letter. This is the finalized annual update to Medicare Advantage and Part D programs, which includes payment up Continue reading

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Two-Thirds of Providers Aren’t At Listed Locations, CMS Finds

CMS’s Medicare Drug & Health Plan Contract Administration Group (MCAG) has turned up some concerning findings, namely the “excessive number” of providers listed in online directories that aren’t at those locations, according to officials who spoke at the Continue reading

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Highest, Lowest 2017 CMS Star Ratings for Medicare plans

CMS released 2017 Star Ratings for Medicare Advantage and Part D plans, with nearly half of all Medicare Advantage with Part D plans earning an overall rating of four stars or higher. Continue reading

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Humana, Cigna stocks fall in face of lower CMS’ updated Medicare star ratings

Humana is facing significant blows to its membership and finance. Meanwhile, Aetna – with whom Humana has a pending merger – said the percentage of its Medicare member enrolled in 4-star plans or higher went up 4 percentage points from last year to 91%. Continue reading

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5 changes to CMS’ Medicare Advantage value-based model

CMS is refining its Medicare Advantage Value-Based Insurance Design model for 2018. Continue reading

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Audits reveal widespread Medicare Advantage overbilling

Dozens of newly uncovered government audits dating back to 2007 reveal widespread overbilling among Medicare Advantage plans, particularly for beneficiaries with diabetes, drug or alcohol dependence, or depression. Continue reading

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