From Medicare Advantage News - If 2014 was the year for simply overcoming the problems involved in getting the three-year CMS-backed Financial Alignment Initiative (FAI) for Medicare- Medicaid dual eligibles started, 2015 may be the year to start finding solutions for the obstacles — some of them unexpected — encountered in furnishing the integrated care duals need. Read more
From Medicare Advantage News - For the second time in as many years, Florida is about to liquidate a Medicare Advantage plan sponsor that became insolvent. The state’s Department of Financial Services (DFS) on Dec. 10 obtained a Circuit Court order authorizing the liquidation of Florida Healthcare Plus, Inc. (FHPI), which has about 10,000 MA members, effective Jan. 1, 2015. Read more
From Medicare Advantage News - There were few surprises and only one brand-new measure — but some important potential changes — outlined in CMS’s Nov. 21 memo on proposed “enhancements” to its Medicare plan star quality ratings for 2016 and beyond. This year’s 22-page edition of what has become an annual document makes clear, for instance, that CMS intends finally to end use of predetermined four-star “thresholds” effective with the 2016 ratings. Read more
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