Medicare Advantage and Part D

From Medicare Advantage News - There are significant health care disparities, both in terms of access and results, between minority groups and whites in Medicare Advantage plans, according to the first-ever CMS release of data stratified by contract for race and ethnicity in MA. The data, which were released April 19 and are slated to be issued annually, show “we have a number of measures that we need to do a better job” on, Cara James, Ph.D., director of the CMS Office of Minority Health, tells MAN. But a close look at the 2013 and 2014 quality measures that CMS and its research partner RAND Corp. Read more

From Medicare Advantage News - An insurer trade group’s new pilot project on verifying provider-directory information may not only improve the acknowledged inaccuracy of much current provider-directory information, but it also may reduce the need for burgeoning CMS efforts to crack down on directory errors in Medicare Advantage. However, neither the pilot unveiled by America’s Health Insurance Plans (AHIP) on March 22 nor the Provider Network Accuracy (PNA) monitoring pilot that CMS said in a March… Read more

Medicare Advantage & Part D Blog

By Lauren Flynn Kelly - May 23, 2016
A year-and-a-half ago, CMS backed off a proposal pertaining to direct and indirect remuneration and pharmacy price concessions in an effort to further clarify the types of DIR fees charged to pharmacies participating in Part D networks that should be included in the negotiated price of a drug...
By Lauren Flynn Kelly - May 6, 2016
We at AIS recently said a bittersweet farewell to managing editor James Gutman, who retired from his full-time post writing Medicare Advantage News but will continue to contribute to our slate of webinars. Jim hired me out of AIS’s database section in the early 2000s and taught me nearly everything...
By James Gutman - April 27, 2016
What a long strange trip it’s been! When I came to AIS nearly 15 years ago as executive editor, I didn’t even know what a Medicare + Choice plan, as it then was called, meant. I got educated quickly, courtesy of a fantastic reporter and writer, Judy Packer-Tursman, who was the editor of AIS’s...

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