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July 30, 2015

Recent Stories of Interest

From Medicare Advantage News - The flurry of proposed and perhaps still-coming insurer acquisitions this month that consultant Stephen Wood calls “a resounding endorsement of Medicare Advantage” seems certain to dramatically change the MA industry. What has been, as Wood calls it, “a cottage industry” in some ways likely never will be again. The advantages of scale, even in health care, which traditionally has been regarded as an industry in which local factors are paramount, have become so great that observers generally say big acquisitions are inevitable. And the changes favoring scale stem, perhaps ironically, in part from new government laws and policies, especially minimum medical loss ratios, according to Wood. Read more

It is not hard to see in the revised Medicare Marketing Guidelines… Read more

In an unsurprising decision but one that raised new doubts about the… Read more

A highly rated Medicare Advantage plan operator in Michigan has used an… 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 30, 2015
Six CMP Letters Issued by CMS in 2015 to MA Plans for Inaccurate Benefit Information

To view the six Civil Money Penalty letters CMS sent to Medicare Advantage plans in 2015 for failing to furnish correct and/or timely benefit and cost information, click here

July 30, 2015
CMS's July 2015 Memo Offering Two-Year Duals Demo Extension

To view CMS's July 16, 2015, memo offering to extend the Medicare-Medicaid dual eligible demonstration program by two years, click here

July 16, 2015
CMS's New MA Marketing Guidelines

To view CMS's new Medicare marketing guidelines, released in July 2015, click here

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