Medicare Advantage and Part D

From Medicare Advantage News - As lawmakers break this month from contemplating the future of the Affordable Care Act (see story, p. 1), Congress has another pressing health care issue to address: the permanency (or lack thereof) of Medicare Advantage Special Needs Plans (SNPs). At the same time the Senate was heatedly debating repeal-and-replace scenarios, a subcommittee of the House Ways and Means Committee on July 26 held a hearing to examine the extension of SNP authorization and ways to improve integration and coordination of care for dually eligible Medicare-Medicaid beneficiaries. Read more

From Medicare Advantage News - As Medicare Advantage insurers show increasing interest in moving physicians down the path toward value-based care, Irvine, Calif.-based ConcertoHealth is taking a two-pronged approach to supporting the network needs of its health plan partners across a variety of settings. Originally a provider-led MA plan called Fidelis Secure Care, the company under new ownership was renamed and divested its MA assets in 2014 to focus on the provider side. Read more

Medicare Advantage & Part D Blog

By Lauren Flynn Kelly - June 29, 2017
In writing the latest issue of Medicare Advantage News, which was made more difficult by late-breaking developments in the Senate’s effort to repeal and replace the Affordable Care Act, I was struck by how sensitive the issue of delivering health care is. At the end of the day, it’s about meeting...
By Lauren Flynn Kelly - May 25, 2017
In the 2018 final payment notice and Call Letter issued last month, CMS threw in an unusual request for information (RFI) soliciting ideas on ways it can bring more transparency, flexibility, program simplification and innovation to the Medicare Advantage and Part D programs. The agency has...
By Lauren Flynn Kelly - February 3, 2017
Fulfilling a new statutory requirement, CMS on Feb. 1 released its annual Advance Notice and draft Call Letter for Medicare Advantage and Part D plans 60 days prior to the final notice — about two weeks earlier than usual. This theoretically gives plans more time to prepare bids due in June,...

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