From Medicare Advantage News - An indicator of the future direction of programs for Medicare-Medicaid dual eligibles could come soon when CMS will decide whether to approve a Michigan proposal that would keep behavioral health care separate from physical health care despite the goal of integrated care (MAN 11/21/13, p. 6). When Michigan selected eight health plans for its duals initiative last November, the state said it was in the process of “finalizing” its Memorandum of Understanding (MOU) with CMS. But more than four months later, there has been no MOU, and industry insiders tell MAN the major obstacle has been the separation of behavioral… Read more
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… 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
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