From Medicare Advantage News - The final results from the 2017 Annual Election Period (AEP) indicate strong growth in Medicare Advantage, in which more than 19.5 million seniors are now enrolled, and imply the MA program is growing at a slightly faster pace than it has in recent years. The data posted in mid-February by CMS reflect enrollment as of Jan. 6 and provide a more complete picture of what happened during the AEP, since there’s usually a substantial lag in when CMS records some signups from these open-enrollment periods. According to the February report, MA plans added more than 150,000 members between Dec. Read more
From Health Plan Week - The goal of Anthem, Inc.’s Pharmacy Home Program (PHP) is to keep members out of it. The program, which launched April 1, 2016, was created to curtail inappropriate opioid use — and improve drug safety — among a small population of commercially enrolled members (see story, p. 1). Anthem’s Medicaid plans have been running similar programs for years. Read more
From Health Plan Week - Leaders from some of the nation’s largest health plans, along with the industry’s two trade groups, turned up at the White House on Feb. 27 to meet with President Trump — and his recently confirmed HHS secretary — to discuss replacing the Affordable Care Act (ACA) and strategies to stabilize the market in the short term. Read more
From Medicare Advantage News - Recognizing “early signs of progress” from the first three Financial Alignment Initiative (FAI) demonstrations to serve dual-eligible beneficiaries, CMS on Jan. 19 offered the states of Massachusetts, Minnesota and Washington an opportunity to extend the scheduled end dates of their demos for two additional years. This is the second extension CMS has offered to states participating in the duals demos, and will give CMS and the three states the additional… Read more
From Drug Benefit News - Carriers participating in the Federal Employees Health Benefits Program (FEHBP) for 2018 should focus heavily on moderating rising prescription drug prices and utilization, the Office of Personnel Management (OPM) told insurers in its annual FEHBP Program Carrier Letter. The annual letter, used by OPM to lay out its priorities for FEHBP each year, is designed to help insurers craft their benefit and rate proposals, which are due by May 31. Read more
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