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
From Medicare Advantage News - Just when it looked as if WellCare Health Plans, Inc. finally had emerged from its longstanding legal problems, it turned out that the company is enmeshed in a big new whistleblower lawsuit. In the complaint, originally filed in May 2013 in U.S. District Court in Tampa, Fla., but not unsealed until the end of last month, six former professional staff members of the insurer — including its former vice president… Read more
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