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September 11, 2014

Recent Stories of Interest

From Medicare Advantage News - In a major victory for Medicare Advantage Special Needs Plans (SNPs) and other MA and stand-alone Prescription Drug Plans (PDPs) that serve mainly low-income beneficiaries, CMS late Sept. 8 said it would delay for one year its termination of plans that haven’t received at least a three-star CMS quality rating in either the Medicare Part C or D summary scores. This means no such plans will lose contracts for 2015, but CMS emphasized in the memo that it “does intend to exercise this authority to terminate contracts at the end of 2015 if plans do not achieve at least a 3 star rating for CY2016.” Read more

Opponents this month filed a second lawsuit aimed at blocking and reversing… Read more

Passive enrollment has begun in Virginia’s CMS-backed demonstration program for Medicare-Medicaid dual… Read more

The Medicaid expansion that began this year under the Affordable Care Act… 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 18, 2014
CMS Releases 2015 MA and PDP Landscape Files

CMS releases 2015 MA and PDP landscape files.

September 11, 2014
CMS Notice of Penalties Imposed on Florida Healthcare Plus

To view the CMS notice imposing a civil monetary penalty on Florida Healthcare Plus, Inc. for several violations, click here

September 11, 2014
Second Lawsuit Seeking to Block Calif. Duals Demo

To view the second lawsuit, filed in September 2014, seeking to block California's implementation of its demonstration program for Medicare-Medicaid dual eligible, click here

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