From Medicare Advantage News - A flurry of additional mass terminations of physicians from Medicare Advantage networks this year has triggered new legislation in Congress that would reduce the flexibility of MA plans to make such cuts in the future. The Medicare Advantage Participant Bill of Rights Act of 2014 (H.R. 4998) was introduced June 26 by U.S. Rep. Rosa DeLauro (D-Conn.), with a companion measure introduced at the same time in the Senate. Read more
From Medicare Advantage News - Another sizable and previously fast-growing Florida Medicare Advantage plan is about to disappear as a result of financial problems. On June 9, Leon County Circuit Court Judge Charles Francis ordered Physicians United Plan, Inc. (PUP) into receivership under the Florida Department of Financial Services (DFS), which will liquidate it effective July 1. Orlando-based PUP began operations in January 2006 and has about 40,000 MA prescription drug HMO members, mainly in Central… Read more
From Medicare Advantage News - One of the least publicized but most welcome changes for Medicare Advantage plans in the final MA and Part D rule CMS released last month (MAN 5/22/14, p. 1) was provisions giving MA plans more flexibility in offering rewards and incentives as part of wellness programs. Read more
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