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Tag Archives: MEdicare Advantage
“Special Edition” Disruption in 2018: Providers & Payers
Friday, May 4, 2018 Disruption in 2018: Providers & Payers …Or… It’s a banner year for somebody. Somewhere. Maybe. Finally Friday! Broadcasts are Sponsored by The Health Law Partners, and The Sixth National PA/UR Boot Camp THIS WEEK, we are welcoming … Continue reading
Posted in Finally Friday!
Tagged contracting, MEdicare Advantage, value based reimbursement
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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
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
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
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
Posted in Industry News
Tagged aetna, Humana, Medicare, MEdicare Advantage, star measures
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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
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
Posted in Industry News
Tagged center for public integrity, Humana, Medicare, MEdicare Advantage, UnitedHealth, Wellpoint
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