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October 23, 2014

Recent Stories of Interest

From Medicare Advantage News - The news was mostly good for — and expected by — insurers in the 2015 star quality ratings released by CMS Oct. 10. A significantly larger number of Medicare Advantage plans earned ratings of four stars and above for 2015 than for 2014, and a much bigger percentage of enrollees (nearly 60%, up from 52%) now are in four-star plans. In addition, there is a substantially smaller number of plans getting CMS’s low-performer icon (LPI) for having summary MA or Part D ratings of below three stars for at least three consecutive years. Read more

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

The initial exultation many Medicare Advantage plans felt when CMS last month… Read more

So-called “high-touch” programs are a major key to success in managing care… 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.

October 31, 2014
Clone of OIG Releases 2015 Work Plan

The OIG released its 2015 Work Plan, a roadmap of audits and investigations for the fiscal year. http://tinyurl.com/3ucv5sq

October 28, 2014
Inovalon Study Finds Socioeconomic Factors Linked to Poorer Outcomes in Duals

Inovalon study finds socioeconomic factors linked to poorer outcomes in duals. http://tinyurl.com/l9nrpc5

October 23, 2014
Highmark's Oct. 2014 Suit Againt Pennsylvania Regarding New MA Product

To view Highmark Inc.'s October 2014 lawsuit against three Pennsylvania agencies regarding their effort to block its 2015 MA product that excludes UPMC providers, click here

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