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July 24, 2014

Recent Stories of Interest

From Medicare Advantage News - There isn’t much in the way of major changes in the final Medicare Marketing Guidelines (MMG) for 2015 that CMS released June 17, consultants and marketing firms queried by MAN seem to agree. But the agency did for the first time clarify some of what Medicare Advantage and Part D plans “can and can’t do on social media,” notes Mary Kaye Thibert, senior vice president, sales, marketing and strategy at consulting firm Gorman Health Group, LLC. Read more

A flurry of additional mass terminations of physicians from Medicare Advantage networks… Read more

Once again focusing on hot-button issues such as access to prescription drugs… Read more

Influenced by continued reports that average risk scores at — and thus… Read more

From the Editor

Welcome to your Medicare Advantage News subscriber-only Web page

Be sure to visit often, for PDFs of issues, archives of articles, links to government documents and more!

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

July 24, 2014
Lawsuit seeking to block California's duals initiative

To view the lawsuit filed in July 2014 seeking to block implementation of California's initiative for Medicare-Medicaid dual eligibles, click here

July 24, 2014
Proposed MA overpayment recovery process changes

To view CMS's proposed changes, on pages 578-599 of the 2015 OPPS rule, in the process for recovering MA overpayments, click here

July 10, 2014
Milliman's 'High-Value Networks' Report for AHIP

To view Milliman's July 1 report for America's Health Insurance Plans on the role of "high-value provider networks," click here

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