Rewards and Incentives: Are We There Yet?

Betsy Seals

Yes, Medicare Advantage is finally catching up to the rest of the health care industry, and we are now permitted to offer enrollees Rewards and Incentives.

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A Christmas Wish List for Claims

Debra Devereaux

Here’s what I am wishing for all our health plan clients….an uneventful start to the 2015 Plan Year. …

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Federal study raises questions about access to care for people gaining Medicaid coverage under the Affordable Care Act

Susan Roberts

Federal investigators said in a new report that large numbers of doctors who are listed as serving Medicaid …

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Hepatitis C virus (HCV) and treatment with Sovaldi® (sofosbuvir)

Roxanne Newland

The medication Sovaldi® has revolutionized the way HCV is treated and at the same time has shocked health …

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Medicare Secondary Payer – A Simple Process with a Big Impact

Christine Tobin

We’ve heard many organizations say, “We do MSP” or “MSP, it’s easy, we’ve got it covered”. MSP processing …

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Republican Congress to Use “Inside Baseball” and Courts to Maim ObamaCare

John Gorman

Blowing in like a flu outbreak as year-end approaches, ObamaCare Derangement Syndrome has enveloped the Capital. Republican leaders in Congress …

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Medicare and Exchange Risk Adjustment: Data Quality Matters

Janet Fina

Plans/Issuers participating in the Exchange may think they have dodged a bullet because HHS has stated payments will …

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