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January 19, 2017

Today's Featured Story    

SNPs Hope for Permanency, Stars Fixes, Enhanced Dual Integration
Reprinted from MEDICARE ADVANTAGE NEWS

A major change in risk-adjustment methodology that went into effect for 2017 alleviated a deep concern of many Medicare Advantage plans with large percentages of dual eligibles. But topping their wish list this year is permanent authorization of the Special Needs Plan program, better alignment of the Medicare and Medicaid programs as they apply to dual eligible SNPs (D-SNPs) — which comprise 90% of SNP enrollees overall — and additional adjustments to star quality ratings to account for social risk factors, according to trade groups and consultants that work with many duals plans.... Read Full Story

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Today's AIS Health Datapoint

$14,973,424 ... was the largest bonus paid to a Blue Cross Blue Shield CEO in 2015. That bonus went to Patricia Hemingway Hall of Health Care Service Corporation.

From THE AIS GUIDE TO BLUE CROSS AND BLUE SHIELD PLANS. (Not affiliated with the Blue Cross and Blue Shield Association or its member companies.)

 

People on the Move

BlueCross BlueShield of Tennessee promoted Dakasha Winton to the newly created position of chief government relations officer. She will take over duties previously performed by Calvin Anderson, who retired. Winton previously was director of state government relations and associate general counsel….The California Public Employees' Retirement System named Scott Terando chief actuary. He has served as interim chief actuary since the retirement of former Chief Actuary Alan Milligan in September. Prior to that, Terando served as deputy chief actuary…. The National Association of Specialty Pharmacy selected Rebecca Shanahan of Avella Specialty Pharmacy as president and Mike Agostino of Hy-Vee, Inc. as president-elect for 2017.

 

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