Medicare Advantage and Part D

From Medicare Advantage News - Citing substantial losses incurred this year and a failure to secure actuarially sound payment rates for the second year of a new contract, longtime Minnesota insurer Medica has informed the Minnesota Dept. of Human Services (DHS) that it will exit two of the state’s public health care programs — the Prepaid Medical Assistance Program (PMAP) and MinnesotaCare — as of May 1, 2017. Read more

From Medicare Advantage News - Through a unique partnership with the Pharmacists’ Association of Western New York (PAWNY), Independent Health in 2015 embarked on a three-month pilot project to improve medication adherence and patient outcomes, marking the first time the insurer has reimbursed pharmacists for their clinical services in its eight-county service area. The program initially focused only on the three areas of medication adherence measured by the CMS star quality ratings and opportunities for… Read more

Medicare Advantage & Part D Blog

By Lauren Flynn Kelly - January 12, 2017
Each year the editors of AIS Health interview dozens of industry experts to come up with predictions on what the next 12 months will look like for the insurers and other health care stakeholders that read our newsletters. But this year’s “Outlook” poll was daunting for sources and writers alike...
By Lauren Flynn Kelly - November 14, 2016
Following the Nov. 8 election of business mogul Donald J. Trump to the presidency, insurers, patients, policy experts, providers and taxpayers alike are scratching their heads as to what this means for health care in the U.S. Trump’s health care reform proposal centered largely on “repeal and...
By Lauren Flynn Kelly - October 13, 2016
Medicare Advantage (MA) and Part D plan sponsors on Oct. 1 were allowed to begin marketing new and existing products for the 2017 Annual Election Period (AEP) that begins on Oct. 15 and runs through Dec. 7. Competition appears to be particularly fierce in western Pennsylvania, judging from the slew...

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