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August 18, 2016

Recent Stories

From Medicare Advantage News - A program integrity report posted by CMS last month showed that of the 1,320 marketing events secretly shopped during the contract year 2014 Annual Election Period, an impressive 85.5% had no validated deficiencies, compared with 65.7% of 1,781 events and 57.8% of 1,562 events shopped during the CY 2013 and 2012 AEPs, respectively. While these data indicate that CMS has come closer to eradicating the deficiencies that were once rampant at marketing events, they don’t necessarily mean CMS will give up secret shopping altogether but rather shift its focus during the AEP marketing period that kicks off on Oct. 1, sources suggest. Read more

In its second year of expansion under the Affordable Care Act, Kentucky’s… Read more

Less than two weeks after the Dept. of Justice filed a lawsuit… Read more

As CMS carries out a new policy of reviewing Medicare Advantage plans’… 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.

August 23, 2016
CMS Seeks More Info on Providers Steering Patients Eligible for Medicare/Medicaid Toward Individual Coverage

CMS seeks more info on providers steering patients who are eligible for Medicare and/or Medicaid toward individual market coverage.

August 18, 2016
New CMS Data: 2014 Part D Drug Costs Up 17% From 2013

New CMS data indicate Medicare Part D drug costs shot up 17% from 2013 to 2014.

August 11, 2016
Judge Sets Dec. 5 Trial Date for Aetna-Humana Deal

Judge sets Dec. 5 trial date for Aetna-Humana deal, decision due mid-January 2017.​

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