Medicare Advantage and Part D

From Medicare Advantage News - The longstanding conflict between western Pennsylvania giants Highmark Inc. and UPMC erupted anew this month, with the battleground being a new Medicare Advantage product Highmark is introducing for 2015. Read more

From Medicare Advantage News - It was largely more of the same in the new National Committee for Quality Assurance (NCQA) rankings of Medicare Advantage plans. Kaiser Permanente plans occupied the first three places, as they did a year ago (MAN 10/10/13, p. 3). And not a single PPO made it into the top 23 in the rankings, which were released last month and again were prepared in partnership with Consumer Reports magazine. But while… Read more

Medicare Advantage & Part D Blog

By James Gutman - November 19, 2014
The Medicare Payment Advisory Commission may not be as influential these days as its creators envisioned, especially since the Congress it advises doesn’t even listen to its own members, let alone an outside body, but MedPAC’s meetings continue to have an entertainment value on their own. And this...
By James Gutman - November 6, 2014
Provider systems, which often in years past made clear they wanted as little as possible to do with Medicare Advantage (MA), clearly have changed their minds. The 2015 lineup of MA plans now being marketed in the Annual Election Period (AEP) includes a host of new MA plans either in which the...
By James Gutman - October 22, 2014
The health insurance industry’s equivalent of the feud between the Hatfields and the McCoys sprung up again this month, and the new battleground is Medicare Advantage (MA) products for 2015. Specifically, Highmark, Inc. on Oct. 1 unveiled a new MA product, Community Blue Medicare HMO, with both...

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