Medicare Secondary Payer (MSP) is all about the money.

Christine Tobin

Money going out as a result of paying claims as primary payer when it’s possible you should be paying as secondary payer. CMS reduces plan payments for members with MSP, shown on the Monthly Membership Report (MMR) as an MSP adjustment (reduction).

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Kaiser Family Foundation & CCF Release 50-State Survey on Medicaid and CHIP

Susan Roberts

It’s time again for the release of the annual 50-state survey on Medicaid and CHIP enrollment, eligibility, cost-sharing and renewal …

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2016 CMS Applications: Highlights and Basics

Regan Pennypacker

This week’s CMS industry training on applications was quite informative, and contained many audience questions that you will …

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How to Maintain the Accuracy & Consistency of Data through an Entire Life Cycle

Christine Tobin

It doesn’t matter whether you call it the Annual Election Period (AEP), Open Enrollment Period or Fall Open …

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Operational Assessment – time for a “Check-Up”

Christine Tobin

It’s time for an operational assessment.

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Private label health plans – a tool for increase market capture and improved patient outcomes

John Nimsky

Private label health plans or co-branded health plans are joint efforts between like minded health plans and provider …

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2016 CMS Application Season Begins

Regan Pennypacker

Yesterday CMS released the 2016 Part D application, and this afternoon the 2016 Medicare Advantage (MA) application was …

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