Medicare Advantage and Part D
GAO Blasts CMS Stars Bonus Demo, But No Moves Are Seen to End ItFrom Medicare Advantage News - The Government Accountability Office (GAO), in an April 23 report that drew support from two prominent Republican congressmen, slammed CMS’s star quality bonus demonstration, alleging that it is wasting billions of dollars and is unlikely to yield useful results. Read more
Ohio Shuts Out Three ‘Pure Play’ Firms in New Medicaid AwardsFrom Medicare Advantage News - When Ohio awarded $1.2 billion worth of contracts to managed care organizations April 6, the three incumbent pure-play Medicaid MCOs — Amerigroup Corp., Centene Corp. and Molina Healthcare, Inc. — were excluded. In response, Centene said it intends to file a formal protest. And securities analysts said Medicaid MCOs remain capable of strong revenue growth over the next few years, and described pure-plays as unlikely to be shut out from… Read more
Extra Benefits for MA Enrollees Average $73, Vary Widely by StateFrom Medicare Advantage News - Medicare Advantage beneficiaries generally are getting substantial amounts of supplementary benefits and/or reduced cost sharing now, and that is likely to continue through next year, according to a new analysis by consulting firm Avalere Health LLC and comments in an interview with its CEO. Read more
Managed Medicare and Medicaid Data
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- [Managed Medicaid Enrollment](/medicare-advantage-and-part-d/data/managed-medicaid-enrollment)
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Medicare Advantage & Part D Blog
By James Gutman - May 18, 2012
It has been an article of faith, but now it may finally become an article of fact. Employers that still offer retiree medical benefits — a vanishing but not yet vanished breed — seem at last to be doing what the Medicare health plan industry has been predicting for years. They are, in growing...
By James Gutman - May 11, 2012
For those of us crazy enough to listen to all the quarterly earnings calls of publicly held Medicare Advantage and Part D plan sponsors, there always are a few "rewards" in the form of especially quotable remarks of company executives. And the just-completed first-quarter 2012 round of calls was no...
By James Gutman - May 4, 2012
Let it not be said that the health insurance industry is easing off the throttle in its campaign to save Medicare Advantage plans in the coming battles on what to cut when it's time to slash the federal budget deficit. The newest evidence of this campaign is a report put out by the America's Health...
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