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March 26, 2015

Recent Stories of Interest

From Medicare Advantage News - The long wait for starting the use of Medicare Advantage plan encounter data may be about to end, based on CMS’s 2016 “45-day notice” and Call Letter released Feb. 20 (MAN 2/26/15, p. 1). And that may lead — over a period of a few years — to major changes for MA sponsors not just in the risk-adjustment determinations that CMS proposed for the initial use next year, assuming CMS keeps the move in the final rate notice and Call Letter April 6, but also for star quality rating measures and coding-intensity adjustment calculations. Read more

On the surface, the changes in Medicare Advantage and Part D star… Read more

There are two differing potential effects of the 2016 advance Medicare Advantage… Read more

Medicare Advantage plans gained another 342,000 members in the enrollment data CMS… 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.

March 26, 2015
House OKs Doc-Fix Bill

On Thursday the House of Representatives approved the controversial SGR or 'doc-fix' bill.

March 26, 2015
MedPAC's March 2015 Report to Congress, With Section on Medicare Advantage

To view the Medicare Payment Advisory Commission's March 2015 Report to the Congress, including a section on Medicare Advantage, click here

March 26, 2015
Oliver Wyman's State-by-State Analysis for AHIP of Impact of CMS's 2016 Advance Notice

To view the analysis by Oliver Wyman for America's Health Insurance Plans of the state-by-state impact of CMS's 2016 advance notice on payment rates, click here

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