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November 14, 2017
Hot Topic
 
North Carolina is preparing to issue a request for proposals in the first half of 2018 to move more than 3 million beneficiaries into Medicaid managed care plans. Here’s a look at recent developments.
 
Despite issues with starting up new contracts in some states and an increasing reliance on Medicare Advantage to lift earnings, publicly traded insurers reporting financials for the second quarter of 2017 continued to express interest in vying for numerous Medicaid RFP opportunities....
From MEDICARE ADVANTAGE NEWS
 
Far in advance of an RFP for three statewide managed care contracts, insurers are already laying the groundwork for a major overhaul of North Carolina’s Medicaid program...
From MEDICARE ADVANTAGE NEWS
 
After several years of discussion and at-times heated debate, both houses of North Carolina’s legislature easily passed a compromise bill that would establish the state’s first capitated Medicaid managed care program using a hybrid of “provider-led entities” and insurers....
From MEDICARE ADVANTAGE NEWS
Today's AIS Health Datapoint
 
$4,000 ... is the drug deductible for a silver plan from Common Ground Healthcare Corporation in Wisconsin, the plan on the federally-facilitated exchange with the highest drug deductible.
 
Subscribe to AIS Health's Drug Benefit News

Quote of the Day
 
“The reason this is so important is that 37% of beneficiaries live on annual incomes of less than $20,000. They’re fixed incomes, very price sensitive, [and] 26% of beneficiaries on MA are dually eligible for Medicare and Medicaid, so we are really talking about those who do not have the $245 extra a year and rely on the additional benefits and reduced cost sharing.”
 
— Better Medicare Alliance President and CEO and former House Rep. Allyson Schwartz (D-Pa.) told reporters about her group’s efforts to lobby for a delay of the health insurance tax.
 
 
 

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