From Medicare Advantage News - When it comes to managing risk and closing gaps in care, the solution isn’t always as simple as targeting the costliest members. Read more
From Medicare Advantage News - Nineteen of the 23 program audits conducted in 2015 of Medicare Advantage plans that were reviewed by CMS since the beginning of 2016 have resulted in the plan involved being directed to hire an independent auditor (IA) to verify that the problems found have been corrected, a CMS official said at a conference session June 16. This figure and other comments made by Doreen Gagliano, technical advisor in the Division… Read more
From Medicare Advantage News - The Indiana Dept. of Administration on June 10 unveiled its intent to award Medicaid managed care contracts to four out of the five insurers that responded to a request for proposals, rejecting a bid from UnitedHealthcare unit UnitedHealthcare Community Plan. Read more
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