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December 1, 2016

Recent Stories

From Medicare Advantage News - Donald Trump’s shocking victory on Nov. 8 will spell big changes for all facets of the health care industry, as the president-elect and congressional Republicans — which retained control of both the House and Senate — are expected to repeal much of the Affordable Care Act (ACA). Read more

CMS earlier this year stunned industry observers when in March, via an… Read more

An earlier version of this story omitted source information from the accompanying… Read more

CMS in a recent final rule implementing the provider payment portion of… 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.

November 22, 2016
New UPMC Health Plan-Reading Health System Will Feature ‘Full Spectrum’ of Products

New UPMC Health Plan-Reading Health System provider-payer joint venture will feature "full spectrum" of health insurance products. http://tinyurl.com/zbgqz7r

November 17, 2016
WellCare Unveils Plans to Acquire Universal American

WellCare unveils plans to acquire Universal American for $10 a share, for a total equity value of $600 million. http://tinyurl.com/gpsw6b5

November 14, 2016
In New Star Ratings Enhancements Memo, CMS Proposes Revision to BAPP Measure

CMS on Nov. 10 issued a request for comments to Medicare Advantage organizations, Prescription Drug Plan sponsors and other interested parties to weigh in on options it has recently considered around adjusting the star quality ratings for audits and enforcement actions. The annual star ratings enhancements memo, released in advance of the draft 2018 call letter that will address other potential changes to the ratings, included a previously communicated proposal to revise the beneficiary access and performance problems measure and detailed several possible revisions for reflecting the magnitude of civil money penalties that have been imposed on plans.

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