Medicare Advantage and Part D

From Medicare Advantage News - As the amount of time left before CMS issues its final 2015 Medicare Advantage and Part D payment notice and Call Letter dropped to less than a month, opponents of the cuts in the preliminary notice stepped up their efforts to seek big changes. And they got support from a bipartisan group of 40 senators as well as from a new study commissioned by the health insurance industry of the impact of the proposed cuts. Read more

From Medicare Advantage News - Medicare Advantage plan enrollment grew by a whopping 546,495 in the CMS February figures released Feb. 19 versus the January membership, surpassing financial-analyst expectations and bringing MA’s penetration rate to more than 30%. Moreover, a big chunk of the growth in the February monthly data, which have come to be regarded as the most important of the year because they reflect the full results of the Annual Election Period (AEP),… Read more

Medicare Advantage & Part D Blog

By James Gutman - April 11, 2014
If there is one word that virtually every queried actuary and consultant used to describe the pay-rate provisions of the final 2015 Medicare Advantage payment notice and Call Letter that CMS released April 7, it was “surprising.” While nearly everybody expected the agency to back off at least...
By James Gutman - April 4, 2014
Academic researchers often display a fondness for using several-years-old data to form conclusions about current issues. Often those data are the best available, and the conclusions aren’t affected by the age of the data. But this may not be the case when the subject deals with payments for...
By James Gutman - March 28, 2014
It turns out that full integration of care to Medicare-Medicaid dual eligibles is real hard to do. With this in mind, CMS is finding it needs to let some states carve out certain services from the huge integrated care demonstration program for duals created in the Affordable Care Act. And it looks...

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