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February 21, 2017

Hot Topic

This week all eyes are on UnitedHealth Group, after the Justice Department last week joined a lawsuit alleging the insurer overcharged Medicare. Here’s a look at AIS’s recent coverage on the topic:

CMS Takes Measured Approach in 2018 '60-Day' Notice and Draft Call Letter
Medicare Advantage News

GAO Report Puts Pressure on CMS to Wrap Outstanding RADV Audits, Hire MA RACs
Medicare Advantage News

Slew of Developments Show More Federal Scrutiny of MA Risk Scores Is Coming Soon
Medicare Advantage News

Mom's Meals Nourish Care
 
Today's AIS Health Datapoint

567,300 ... is the number of people who received coverage via Humana's public exchange offerings during 2016. It subsequently reduced its public exchange offerings for 2017 and has announced it will not participate at all in 2018.

From AIS’s DIRECTORY OF HEALTH PLANS

 

Quote of the Day

“It’s important for people to keep in mind that risk pools were never designed to be the solution to all of the health system’s ills. They were designed to serve a very narrow niche of the population.”

— Ryan Burt, an attorney with the Minneapolis law firm DeWitt Mackall Crounse & Moore, tells Health Plan Week about the importance of funding to the success of high-risk pools.

Click here to read the HEALTH PLAN WEEK article in which this quote appeared — "High-Risk Pools Then and Now: Minnesota’s MCHA and Alaska’s ARP" (Free for HPW subscribers; $17 for non-subscribers.)

 

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