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May 21, 2015

Recent Stories of Interest

From Medicare Advantage News - What a difference a year makes! One year ago, when Medicare Advantage plan sponsors held their first-quarter earnings conference calls with investors, several of them — led by UnitedHealth Group — spent large amounts of time criticizing what they called the underfunding of MA by the government (MAN 4/24/14, p. 6). In the 2015 first-quarter calls late last month and early this month, such criticism clearly has been less prolonged and strident. Read more

Now that almost all of the CMS-backed initiatives for Medicare-Medicaid dual eligibles… Read more

In the latest escalation of their longstanding feud, UPMC said this month… Read more

While some health plans and states participating in the huge CMS-backed demonstration… 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.

May 22, 2015
House Targets Medicare Advantage in 4 New Bills

The House Ways and Means Committee introduced four bills aimed at Medicare Advantage, including aspects such as star ratings and enrollment reporting. http://tinyurl.com/mg38gsh

May 21, 2015
AHIP CEO Leaving for EmblemHealth

AHIP CEO Karen Ignagni will leave to become CEO at EmblemHealth. http://tinyurl.com/mpfctof

May 21, 2015
Ruling by Pa. Judge Against Highmark Unilaterally Deciding to Pass on Sequestration-Caused MA Payment Cuts to Providers

To view the May 6, 2015, ruling by Pennsylvania Court of Common Pleas Judge R. Stanton Wettick, Jr. that Highmark Inc. had no right under its Medicare Advantage contracts with network hospitals to pass through payment cuts resulting from congressional budget sequestration, click here

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