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June 16, 2016

Recent Stories

From Medicare Advantage News - The bids are in to CMS for Medicare Advantage and stand-alone Prescription Drug Plan (PDP) sponsors that intend to offer products for 2017, and while consultants and actuaries say insurers experienced only a few blips in the submission process that ended June 6, a few key unknowns are causing some anxiety as plans await the results. Among them are rising prescription drug costs and increased weight of encounter data on MA risk scores. Read more

As CMS attempts to transition more clinicians and hospitals from volume-based reimbursement… Read more

As plans participating in ongoing state demonstration projects for Medicare- Medicaid dual… Read more

In an annual effort to gain a better understanding of certain areas… 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 1, 2016
CHI Plans Divestiture of Insurance Business

Catholic Health Initiatives is selling its insurance business, which comprises 33,000 Medicare Advantage members and 150,000 commercial members.

June 29, 2016
CMS Releases Proposed Reg on Medicare Appeals

CMS dropped a proposed regulation amending the ‪Medicare‬ Advantage and Part D appeals process.

June 28, 2016
Aetna, Humana Extend Acquisition Deadline

Aetna and Humana extended the deadline for their proposed merger, but still expect to close the deal this year.

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