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February 9, 2017

Recent Stories

From Medicare Advantage News - The 2018 Advance Notice and draft Call Letter for Medicare Advantage and Part D plans posted Feb. 1 by CMS contained very few proposals that could be considered major or surprising, industry experts tell AIS Health. Adding to the dullness of the annual notice, which is now required to come out 60 days in advance of the final payment notice instead of 45 days, was a modest pay hike to the tune of 0.25% on average for MA plans. Read more

Some Medicare Advantage insurers reporting fourth-quarter and full-year 2016 earnings in late… Read more

A 13-day trial to determine the fate of Aetna Inc.’s planned $37… Read more

The official results of the first phase of CMS’s directory accuracy pilot… 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!

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February 17, 2017
Justice Dept. Joins Whistleblower Lawsuit Alleging MA Upcoding by UnitedHealth Group, Affiliates

Justice Dept. joins whistleblower lawsuit alleging MA upcoding by UnitedHealth Group and affiliates.

February 1, 2017
2018 Advance Notice Includes Average Payment Hike of 2.75% for MA Plans

CMS on Feb. 1 released the 2018 Advance Notice and draft Call Letter for Medicare Advantage and Part D plans, approximately two weeks earlier than usual as per a new statutory requirement. Key payment changes highlighted by CMS officials during a press conference held the same day included an overall estimated payment increase of 0.25% for MA plans, which translates to an average payment hike of 2.75% when taking into account an estimated 2.5% coding trend, and the continuation of the 25%/75% blend of encounter data and RAPS data in calculating risk adjustment scores for 2018. View the notice here.

January 26, 2017
Capital BlueCross Plans to Expand Penn. MA Presence With Vibra Health Plan Buy

Capital BlueCross plans to expand MA presence in Pennsylvania with Vibra Health Plan buy.

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