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January 28, 2016

Recent Stories

From Medicare Advantage News - In a victory for the CMS-backed demonstration for Medicare-Medicaid dual eligibles, California Gov. Jerry Brown (D) said in his Jan. 7 budget message that the state will delay by one year a decision required by state law on whether to close its duals demo because of a lack of cost savings. Instead, California will focus this year on increasing participation in the care integration demo, the budget message said, as well as extending a controversial managed care organization (MCO) tax that helps fund it, and then decide by January 2017 whether to halt the demo effective January 2018. Read more

More than five years after enactment of the Affordable Care Act that… Read more

At first glance, things seem to be looking up for Medicare Advantage… 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 28, 2016
N.Y. Attorney General's Settlement With United on I-SNP Coercion Probe

To view the Jan. 7 agreement between New York state's attorney general and UnitedHealth Group barring the company from requiring skilled nursing facilities seeking to contract with its other health plans to also contract with its MA institutional Special Needs Plan, click here

January 22, 2016
CMS Suspends Marketing, Enrollment in Cigna MA, Part D Plans

In a securities filing, Cigna Corp. said that CMS is suspending marketing and enrollment in Cigna's Medicare Advantage and Part D plans because of deficiencies and customer complaints.

January 14, 2016
MedPAC Adopts Recommendation to Bar Payment on MA Diagnoses From HRAs Without Follow-Up

At a meeting today, the Medicare Payment Advisory Commission adopted a recommendation to bar payment on Medicare Advantage diagnoses from HRAs without a follow-up.

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