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November 20, 2014

Recent Stories of Interest

From Medicare Advantage News - There has been a marked change in tone in the comments of publicly held insurers about Medicare Advantage performance in the third-quarter earnings conference calls ending this week. While earlier in the year the emphasis was on bemoaning what several MA plan sponsors called the “underfunding” of the MA program, the emphasis in the initial third-quarter calls has been on improving and better-than-anticipated MA results and expectations of more MA growth in 2015 and beyond. Read more

Medicare-Medicaid dual eligibles fared significantly worse than non-duals on a majority of… Read more

The news was mostly good for — and expected by — insurers… Read more

Probably the most popular form of new Medicare Advantage product for 2015,… 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.

November 20, 2014
Newly Unsealed Whistleblower Suit Against WellCare

To view the newly unsealed whistleblower suit against WellCare Health Plans, Inc. related to coverage denials for inpatient care, click here

November 20, 2014
Presentation at Medicare Advantage session of November 2014 MedPAC meeting

To view the staff presentation on Medicare Advantage margins at the Nov. 6, 2014, meeting of the Medicare Payment Advisory Commission, click here

November 6, 2014
Mulcahy August 2014 Memo on Top Five MA and PDP Problems in Program Audits

To view the August 2014 memo from Gerard Mulcahy, director of CMS's Medicare Parts C & D Oversight and Enforcement Group, on the top five problems found in each MA and Part D program audit area in 2013, click here

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