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July 24, 2014

Recent Stories of Interest

From Medicare Advantage News - The initial data on enrollment in states’ CMS-backed initiatives to integrate care for Medicare-Medicaid dual eligibles are beginning to dribble in, and the seemingly inescapable conclusion is that it is going to take a long time for these demonstration programs to reach their financial and clinical goals. Voluntary enrollment figures so far are relatively low, and opt-outs remain quite high (MAN 5/8/14, p. 1), although passive enrollment is starting to boost the number of beneficiaries in the demos substantially. Read more

A focus group of seniors enrolled in Medicare Advantage plans this month… Read more

There isn’t much in the way of major changes in the final… Read more

A flurry of additional mass terminations of physicians from Medicare Advantage networks… 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 24, 2014
Lawsuit seeking to block California's duals initiative

To view the lawsuit filed in July 2014 seeking to block implementation of California's initiative for Medicare-Medicaid dual eligibles, click here

July 24, 2014
Proposed MA overpayment recovery process changes

To view CMS's proposed changes, on pages 578-599 of the 2015 OPPS rule, in the process for recovering MA overpayments, click here

July 10, 2014
Milliman's 'High-Value Networks' Report for AHIP

To view Milliman's July 1 report for America's Health Insurance Plans on the role of "high-value provider networks," click here

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