From Medicare Advantage News - Citing substantial losses incurred this year and a failure to secure actuarially sound payment rates for the second year of a new contract, longtime Minnesota insurer Medica has informed the Minnesota Dept. of Human Services (DHS) that it will exit two of the state’s public health care programs — the Prepaid Medical Assistance Program (PMAP) and MinnesotaCare — as of May 1, 2017. Read more
From Medicare Advantage News - Through a unique partnership with the Pharmacists’ Association of Western New York (PAWNY), Independent Health in 2015 embarked on a three-month pilot project to improve medication adherence and patient outcomes, marking the first time the insurer has reimbursed pharmacists for their clinical services in its eight-county service area. The program initially focused only on the three areas of medication adherence measured by the CMS star quality ratings and opportunities for… Read more
From Medicare Advantage News - Donald Trump’s shocking victory on Nov. 8 will spell big changes for all facets of the health care industry, as the president-elect and congressional Republicans — which retained control of both the House and Senate — are expected to repeal much of the Affordable Care Act (ACA). Read more
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