Medicare Advantage and Part D

Employer Retiree Groups Will Move To MA, but How Soon Is the Question

From Medicare Advantage News - Employer groups stand to become a much bigger contributor to Medicare Advantage growth than they are now, but any big move probably won’t occur until 2013 and beyond, according to executives, consultants and securities analysts. “There’s a great deal of interest” on the part of employers, said Humana Inc. Chairman and CEO Michael McCallister in response to a question following his presentation at JPMorgan’s annual health care conference for investors in San Francisco Jan. 10. Read more

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2012 Outlook: Dual-Eligible Market Beckons MA, Medicaid Plans, but New Initiatives Pose Questions (with table: Status of Initiatives in…

From Medicare Advantage News - If there is one key market segment that Medicare plans — and Medicaid ones — will focus on in 2012, it is Medicare-Medicaid dual eligibles. After years of discussion, it looks as though both the federal government and states will accelerate dramatically implementation of programs to improve quality and reduce costs in care for duals, and the result will be big opportunities for plans. Read more

Despite Late Surge, MA AEP Was Slower Than Expected Due to Timetable, Stability

From Medicare Advantage News - A variety of factors contributed to what several plans and consultants tell MAN was a generally slower than expected 2012 Medicare Advantage Annual Election Period (AEP). Despite apparently very heavy activity near the Dec. 7 end of the AEP, many plans are likely to have fallen short of their perhaps overly ambitious goals, although there are prominent exceptions. Some of the difficulties relate to the required earlier start — Oct. Read more

More Medicare Advantage & Part D Stories

Managed Medicare and Medicaid Data

On the Medicare Advantage & Part D Bookshelf

Strategies and Challenges for Marketing Medicare Advantage and Part D Plans

Impact of Health Reform on Medicare Advantage and Part D

Recent CMS Audit Reports

Medicare Advantage & Part D Blog

MA 'Flavor of the Week' Is Duals

By James Gutman - February 17, 2012

Each year, there seems to be one issue that dominates presentations and questions during Medicare Advantage plan sponsors' quarterly earnings calls. In 2012 so far, this issue clearly is new initiatives to manage care and costs of Medicare-Medicaid dual eligibles. The interest is understandable, of...

The MA PPO Members That Nobody Wants

By James Gutman - February 10, 2012

If there is a "hot potato" that Medicare Advantage plans want to avoid catching, it might just be non-HMO beneficiaries in Northern California. And if one leading securities analyst is right, Health Net, Inc. may have to take a bite out of that hot potato in 2012. The history began, as securities...

How to Make a Prediction Come True by Really Trying

By James Gutman - February 3, 2012

CMS might have done some creative thinking for its presentation of the Medicare Advantage 2012 Annual Election Period (AEP) results on Feb. 1. Back on Sept. 15, 2011, the agency had forecast, based on information it said was obtained from MA sponsors, that MA plan enrollment would climb 10% for...