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September 15, 2016

Recent Stories

From Medicare Advantage News - After a surprising policy suspension that gave sanctioned plans like Cigna Corp. a break on their star quality ratings, CMS now is considering several adjustments to the star ratings program to account for sanctions and other actions, and floated three potential changes by attendees at its Medicare Advantage and Part D fall conference on Sept. 8. At the same time, the agency has made a series of tweaks to the Medicare Plan Finder (MPF) tool, highlighting which plans are under an enrollment sanction and adding more information about the sanction itself. Read more

CMS this year made several major network review changes that have reportedly… Read more

The Pennsylvania departments of Human Services (DHS) and Aging on Aug. 30… Read more

Plans participating in California’s CMS-backed capitated Financial Alignment Initiative, Cal MediConnect (CMC),… 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.

September 6, 2016
Cigna Says it Likely Won’t Get CMS Sanctions Lifted in Time to Participate in 2017 Medicare Advantage Annual Election Period

Cigna says it likely won’t get CMS sanctions lifted in time to participate in 2017 Medicare Advantage Annual Election Period. http://tinyurl.com/jlyftxm.

August 30, 2016
Penn. Selects AmeriHealth, Centene, UPMC to Coordinate Health and LTSS Services for New Community HealthChoices Program

Penn. selects AmeriHealth, Centene, UPMC to coordinate health and LTSS services for new Community HealthChoices program. http://tinyurl.com/jtmpf6n

August 23, 2016
CMS Seeks More Info on Providers Steering Patients Eligible for Medicare/Medicaid Toward Individual Coverage

CMS seeks more info on providers steering patients who are eligible for Medicare and/or Medicaid toward individual market coverage. http://tinyurl.com/h3kde8x

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