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January 22, 2015

Recent Stories of Interest

From Medicare Advantage News - There are many qualifiers that limit what trends are clear in the partial enrollment data for the Medicare Advantage and stand-alone Prescription Drug Plan (PDP) 2015 Annual Election Period (AEP) CMS released Jan. 15. But there is one message that seems abundantly clear, industry analysts tell MAN. To a degree unmatched in prior AEPs, there has been a massive move from MA plans with lower CMS star quality ratings to those with higher ratings, a move the observers attribute not to beneficiaries’ star awareness but instead to the better benefits and reduced costs the higher-rated plans can afford because of the rebate dollars that plans rated four stars or above get from CMS. Read more

From a rule awaiting final clearance that’s likely to mean big changes… Read more

There is a good-news, bad-news scenario apparently gaining credence among Medicare Advantage… Read more

In another reshaping of the volatile Florida Medicare Advantage and managed Medicaid… 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.

January 22, 2015
CMS's November 2014 Memo on Update to Chapter 4 of Managed Care Manual

To view CMS's Nov. 7, 2014, memo on the update to Chapter 4 of the Managed Care Manual related to beneficiary protections, click here

January 22, 2015
Aetna's Dec. 29, 2014, Letter to Pharmacies About Errors in Part D Network Pharmacies Lists

To view Aetna Inc.'s Dec. 29, 2014, letter to pharmacies about its errors in listings of Part D network pharmacies, click here

January 22, 2015
CMS's December 2014 MA Rewards and Incentive Program Guidance

To view CMS's Dec. 4, 2014, Medicare Advantage rewards and incentives program guidance, click here

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