Medicare Advantage and Part D

From Medicare Advantage News - Another sizable and previously fast-growing Florida Medicare Advantage plan is about to disappear as a result of financial problems. On June 9, Leon County Circuit Court Judge Charles Francis ordered Physicians United Plan, Inc. (PUP) into receivership under the Florida Department of Financial Services (DFS), which will liquidate it effective July 1. Orlando-based PUP began operations in January 2006 and has about 40,000 MA prescription drug HMO members, mainly in Central Florida. Read more

From Medicare Advantage News - One of the least publicized but most welcome changes for Medicare Advantage plans in the final MA and Part D rule CMS released last month (MAN 5/22/14, p. 1) was provisions giving MA plans more flexibility in offering rewards and incentives as part of wellness programs. Read more

Medicare Advantage & Part D Blog

By James Gutman - July 15, 2014
The Medicare Advantage (MA) industry knows what its critics think about it, and that’s a good thing for planning strategy changes. But does the industry know that its customers — presumably its biggest fans — also have some major criticisms, especially regarding customer service? And does it also...
By James Gutman - July 8, 2014
The drumbeat to do something about mass terminations of providers from Medicare Advantage (MA) networks is getting louder. Even though CMS put new limits on such terminations in the final 2015 MA payment notice and Call Letter in April, Democrats in both the House and Senate late last month...
By James Gutman - June 27, 2014
Sometimes it’s hard to figure out what CMS wants from Medicare Advantage (MA) and Part D plans. At other times, it’s extremely clear, and perhaps nowhere is that more the case than on member access to pharmaceuticals. Despite this clarity, numerous MA and stand-alone Prescription Drug Plans (PDPs)...

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