Medicare Advantage and Part D
AIS Survey Data Show Significant Growth in Medicaid Managed CareFrom Medicare Advantage News - Medicaid enrollment has increased significantly over the past year and is the fastest growing health insurance sector, according to preliminary results from the annual research cycle for AIS’s Directory of Health Plans: 2017. With an average increase of 7.5% among the first 20 states to respond to AIS’s annual survey, researchers are discerning some prominent trends that could bode well for insurers in this sector. A larger proportion of Medicaid eligibles are enrolled in managed Medicaid plans vs. state fee-for-service (FFS) coverage compared to last year. Read more
On Top of Potential MA Growth, MCOs Are Tracking Dozens of RFPsFrom Medicare Advantage News - As several Medicaid-focused managed care organizations look to Medicare Advantage as a new area of growth for the companies, executives during recent conference calls to discuss first-quarter 2017 earnings noted that Medicaid continues to present a robust pipeline of opportunities. Anthem, Inc., which is implementing new Medicaid business in Texas and Virginia that is expected to go live later this year, said it is anticipating the results of six active RFPs… Read more
CMS Reports Show Disparities in Care by Ethnicity, Gender, RaceFrom Medicare Advantage News - Two new reports examining the quality of care received by Medicare Advantage enrollees reveal several nuances in the patient experience as reported by ethnic/racial group and gender, as well as “sizable differences” in the quality of treatment for certain conditions among MA beneficiaries, such as black and white men with rheumatoid arthritis, observes CMS. Read more
Managed Medicare and Medicaid Data
Medicare Advantage & Part D Blog
By Lauren Flynn Kelly
- May 25, 2017
In the 2018 final payment notice and Call Letter issued last month, CMS threw in an unusual request for information (RFI) soliciting ideas on ways it can bring more transparency, flexibility, program simplification and innovation to the Medicare Advantage and Part D programs. The agency has...
By Lauren Flynn Kelly
- February 3, 2017
Fulfilling a new statutory requirement, CMS on Feb. 1 released its annual Advance Notice and draft Call Letter for Medicare Advantage and Part D plans 60 days prior to the final notice — about two weeks earlier than usual. This theoretically gives plans more time to prepare bids due in June,...
By Lauren Flynn Kelly
- January 12, 2017
Each year the editors of AIS Health interview dozens of industry experts to come up with predictions on what the next 12 months will look like for the insurers and other health care stakeholders that read our newsletters. But this year’s “Outlook” poll was daunting for sources and writers alike...
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