The Good, the Bad and the Ugly in Medicare Advantage

John Gorman

In the last two weeks there’s been good, bad and ugly news for Medicare Advantage (MA) plans.  On one hand, the program has never been stronger and quality metrics are surging in the right direction; on the other, the industry is sucking it up on following the rules of its biggest customer, the Centers for Medicare and Medicaid Services (CMS).

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NY Times article reiterates compliance trends in Medicare Advantage

Betsy Seals

As many of you have already read, the NY Times ran a scathing article on October 12th titled …

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Exchange 2014 Data Submission Due April 30,2015

Janet Fina

As we wind down on our inaugural year with Health Insurance Exchanges (HIX), we have seen plans using …

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Noteworthy declines in Star Measures: Ensure a 4-Star Performance

Jane Scott

With 5% of revenue contingent on achieving at least 4 Stars, the stakes have never been higher for …

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Reversing the Trend: Improving Care Coordination

Jane Scott

The good news from the 2015 Star Ratings is clear: Medicare Advantage plans held steady or improved in …

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They Still Don’t Like It

Debra Devereaux

In the October 8, 2014 memo entitled “Contract Year 2014 Part D Formulary Administration Analysis (FAA)”, CMS reiterates …

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Application season is here: How’s your network holding up?

John Nimsky

Once again we are in the midst of application season for health plans applying to become a Medicare …

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