From Medicare Advantage News - The biggest news in the 2015 Medicare Advantage and stand-alone Prescription Drug Plan (PDP) “landscape files” that CMS released Sept. 18 is what didn’t happen. Despite the substantial cuts in MA plan payments coming for the vast majority of sponsors next year, there aren’t many plan exits, and premium increases generally are fairly low. Even benefit reductions, which look to be the main channel for MA plan efforts to offset some payment reductions for 2015, appeared to be mainly small in the files that show the products to be offered in each service area, along with their premiums. Read more
From Medicare Advantage News - Opponents this month filed a second lawsuit aimed at blocking and reversing implementation of California’s CMS-backed demonstration program for Medicare-Medicaid dual eligibles. And this one could have a better chance than the first suit, which was filed in July and seeks an injunction that was denied by a state judge (MAN 7/24/14, p. 5), because it focuses on actual harm allegedly suffered by specific duals beneficiaries as a result of… Read more
From Medicare Advantage News - Despite persistent and varied efforts by CMS to foster their spread, less than half of Medicare Part D enrollees eligible for medication therapy management programs receive them, and only 11% of all Part D enrollees were part of MTM programs in 2012, according to a new study of CMS data from that year by consulting firm Avalere Health LLC. Moreover, Avalere found that just 1% of Part D enrollees in… Read more
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