From Medicare Advantage News - In the midst of earnings releases and conference calls held by publicly traded Medicare and Medicaid insurers in late April and early May, the Pennsylvania Dept. of Human Services disclosed earlier than anticipated that eight plans total, including three large insurers, had won contracts to serve the state’s mandatory Medicaid managed care program for up to five years. The big winners were incumbent UnitedHealth Group, which won across all five regions, and Centene Corp., which was new to the state and selected to serve in three regions. Read more
From Medicare Advantage News - There are significant health care disparities, both in terms of access and results, between minority groups and whites in Medicare Advantage plans, according to the first-ever CMS release of data stratified by contract for race and ethnicity in MA. The data, which were released April 19 and are slated to be issued annually, show “we have a number of measures that we need to do a better job” on, Cara… Read more
From Medicare Advantage News - An insurer trade group’s new pilot project on verifying provider-directory information may not only improve the acknowledged inaccuracy of much current provider-directory information, but it also may reduce the need for burgeoning CMS efforts to crack down on directory errors in Medicare Advantage. However, neither the pilot unveiled by America’s Health Insurance Plans (AHIP) on March 22 nor the Provider Network Accuracy (PNA) monitoring pilot that CMS said in a March… Read more
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