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April 14, 2014

Recent Stories of Interest

From Health Plan Week - Even though CMS’s final Medicare Advantage (MA) 2015 payment rates notice and Call Letter said health insurers will see a 0.4% rise in reimbursement from 2014, improving from its preliminary proposal released in February for a 1.9% cut, the industry and Wall Street analysts said their assessment is that plans will actually experience a cut of 1% to 4%. The government’s math and that of the industry obviously don’t match. Read more

Lurking beneath the surface of the health insurer business landscape is a… Read more

The “final frontier” of untapped membership is how one industry insider describes… Read more

States operating Medicaid managed care programs are in negotiations with their health… Read more

From the Editor

Welcome to your Health Plan Week subscriber-only Web page

Be sure to visit often, for PDFs of issues, archives of articles and data, and more!

Please e-mail me with your comments on the last issue of Health Plan Week, story ideas for future issues, or any other suggestions you have that can make the newsletter more useful for you.

April 4, 2014
Key Financial Data for Leading Health Plans — Fourth Quarter 2013 (Year-to-Date)

Your quarterly Key Financial Indicators for Leading Health Plans spreadsheet is now available. Click here to access the raw data file and see year-over-year comparisons of leading health plans’ net income, premium revenue, medical loss ratios and net margins.

April 3, 2014
CMS Approves Michigan Duals Demo
April 2, 2014
Mercy, Humana Launch Missouri ACO

Mercy, Humana launch Missouri ACO. http://tinyurl.com/l496e7v

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