CMS has order three private MA plans to stop marketing and enrollment activity: Universal American Corp. (UAM), Health Net Inc. (HNT) and Arcadian Health. Not a good time to stop enrolling members in the middle of the 2011 AEP! Further References: Kaiser Health News Stockton (Calif.) Record: “These sanctions will remain in effect until...
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According to the WSJ on 11/19/10, the major public MA plans are responding to the legislative changes in the ACA of 2010 by diversifying from the once lucrative private MA business in 2011. Summary: Private plans are new renewing hundreds of Ma plans displacing over 700,000 lives who must find new coverage options Kaiser...
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Wednesday Barack Obama appointed Dr. Donald Berwick as the Administrator to the Centers of Medicare and Medicaid Services using a recess appointment. Dr. Berwick is a Harvard professor and a patient care specialist. He would be able to serve in his role though next year without Senate approval. Currently there are no hearings scheduled...
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Dynamic Healthcare Systems, a provider of enterprise technology solutions for Medicare-focused health plans, today announced that VIVA Health, Inc., a managed care company with over 32,000 Medicare Advantage members, purchased the Voyager suite including the following modules: Sales/Marketing, Enrollment, Reconciliation, HCC Analytics, RAPS Management and Premium Billing. Dynamic Healthcare Systems is designed to...
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On June 25, 2010, President Obama signed into law the “Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010.” This law establishes a 2.2 percent update to the Medicare Physician Fee Schedule (MPFS) payment rates retroactive from June 1 through November 30, 2010. The Centers for Medicare & Medicaid...
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