Another Flood of Good News for Medicare Advantage

John Gorman

Last week the Centers for Medicare and Medicaid Services (CMS) did its annual data dump for the 2015 Medicare Advantage (MA) and Prescription Drug Plan (PDP) bids.  Even with MA plans sailing into the worst rate environment in over 15 years, the data offered another flood of good news for the industry.

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Gearing up for 2016 – Look Ahead, Plan Ahead

Mary Kaye Thibert

As if you are not busy enough, now is the time to start looking towards both 2016 and the …

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Bombshells from MedPAC on Medicare Advantage Retention

John Gorman

The Medicare Payment Advisory Commission (MedPAC ), the nonpartisan blue-chip Congressional uber-nerds on our favorite entitlement program, met …

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CMS’s Star Ratings Firing Squad Gets Squirt Guns

John Gorman

Last week, in a surprise move, the Centers for Medicare and Medicaid Services (CMS) reversed its threat to …

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Data the Silent Killer

Glenn Ellerbe

As a seasoned veteran in healthcare operations I’ve seen firsthand the progression of data utilization by health plans. …

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Why Medicare ACOs Were Always a Bad Deal, and Why They Need an Exit Strategy

John Gorman

Last week, the tenth of 32 Medicare Pioneer ACOs dropped out of the program.  Others are expressing reservations …

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Groundhog Day: CMS Issues Best Practice Memo Related to Common Audit Findings

Betsy Seals

Is it Groundhog Day or does this memo say the same thing as last year? Nope you’re not …

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