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December 8, 2016

Today's Featured Story

New Leavitt Report Shows Medicare Advantage Star Ratings Do Not Shrink Premiums
Reprinted from Health Plan Week

Higher-quality Medicare Advantage (MA) plans in the four- and five-star categories cost consumers more in premiums rather than less, even though the insurers sponsoring these plans receive CMS bonus payments, according to a new report by Leavitt Partners, LLC and Medicare HealthPlans, a website for Medicare consumers: “The Cost of Quality: How Star Ratings Can Influence Monthly Premiums in Medicare Advantage Plans.” ... Read Full Story


Quote of the Day

Republican leaders who have vowed to repeal the ACA “will be like the dog that caught the bus. They’re stuck and...don’t have a solution.”

— Senator Charles E. Schumer (D-N.Y.) told The Washington Post for a Dec. 1 story on replacing Obamacare.


Today's Datapoint

$5.65 million ... will be paid by Memorial Hermann Health System in Texas to settle charges in a civil monetary penalty case that it allegedly misused modifiers -59 and -91 on Medicare claims.

From REPORT ON MEDICARE COMPLIANCE — "Hospital Pays $5.65M to Settle CMP Case Over Modifiers -59, -91"


Today from Washington

People on the Move
Personal Genome Diagnostics Inc. appointed Maria Chan, Ph.D., vice president of regulatory strategy. Chan previously was the FDA division director of the Division of Immunology & Hematology Devices at the Center for Devices & Radiological Health, Office of In Vitro Diagnostics & Radiological Health....Western Dental & Orthodontics named Robert A. Eisen chief human resources officer. He most recently was vice president of talent at St. Joseph Health in Irvine, Calif....Ted Waitt, chairman of the Waitt Foundation and cofounder of Gateway, Inc., was named chairman of the Salk Institute for Biological Studies' Board of Trustees.

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