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March 7, 2017

Hot Topic

This week pharmaceutical access is in the news, after CMS fined multiple Medicare Part D plans millions of dollars for improperly denying drug claims. Here’s a look at AIS’s recent coverage on the topic:

As CMPs Grow, MA Plans Should Scan Pharmacy Benefit Operations
Medicare Advantage News

Aggravated by Errors, CMS Hikes Fines on Part D, MA Plans
Drug Benefit News

As CMS Rolls Out $9.6M in CMPs, 2015 Audits Show Part D Compliance Defects
Drug Benefit News

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

40% ... is Moda Health's market share in the individual market in Oregon. With 92,030 members, Moda Health was the leading insurer in the Oregon individual market in 2016.

From AIS’s DIRECTORY OF HEALTH PLANS


Quote of the Day

“We have a way to go before the government starts writing checks.”

— Bruce Merlin Fried, a partner in Dentons’ health care practice in Washington, D.C., told Health Plan Week about Moda Health Plans’ legal victory over HHS in a case over the Affordable Care Act’s risk corridors program.

Click here to read the HEALTH PLAN WEEK article in which this quote appeared — "A New Hope: Moda’s Risk-Corridors Ruling Sparks Cautious Optimism Among Carriers" (Free for HPW subscribers; $17 for non-subscribers.)

 

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