Medicare Advantage Insurers May See Positive Growth in 2016 Despite CMS’ 0.95% Payment Rate Cut Announcement

By Paloma Nazar on March 6, 2015 —  CMS has proposed a 0.95% decrease in Medicare Advantage payment rates for 2016, a stark contrast to the estimated 2.0% increase previewed in December 2014. This is likely due to updated figures relating to actual Medicare costs and the rate of fee-for-service Medicare spending growth. The proposed…


MAIA – Day at the Capitol

MAIA’s Day at the Capitol is designed to give members and others the opportunity to learn more about insurance legislation being considered by the Missouri Legislature, and time to meet with elected officials to express their views. The Day at the Capitol is typically held in early March each year at the Capitol Plaza Hotel…


CMS Update: Inappropriate Third Party Marketing and Enrollment Websites

DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard Baltimore, Maryland 21244-1850 CENTER FOR MEDICARE DATE: February 24, 2015 TO: Medicare Advantage-Prescription Drug Plans, Prescription Drug Plan Sponsors, Medicare-Medicaid Plans, and Section 1876 Cost Plans FROM: Kathryn A. Coleman Acting Director, Medicare Drug & Health Plan Contract Administration Group…


H&R Block analysis: Most ObamaCare customers paying back portion of subsidies

ObamaCare customers who received health insurance subsidies last year are getting an unpleasant surprise this tax season — with many finding they have to repay hundreds of dollars. An analysis by tax-preparer H&R Block found that to date, 52 percent of those who enrolled in Affordable Care Act coverage are paying back part of their…


2015 Outlook: Likely Hike Coming in Base MA Pay Rates May Be Offset by Other CMS Changes

Reprinted from MEDICARE ADVANTAGE NEWS, biweekly news and business strategies about Medicare Advantage plans, product design, marketing, enrollment, market expansions, CMS audits, and countless federal initiatives in MA and Medicaid managed care. January 8, 2015 Volume 21 Issue 1 There is a good-news, bad-news scenario apparently gaining credence among Medicare Advantage industry observers for the financial outlook…



  Fact Sheet U.S. Department of Health & Human Services News Division 202-690-6343 Twitter @HHSMedia FOR IMMEDIATE RELEASE Friday, Feb. 13, 2015 BY THE NUMBERS: OPEN ENROLLMENT FOR HEALTH INSURANCE Since Open Enrollment for the Health Insurance Marketplace began on November 15, about 10 million people have explored their options, learned about the…


Increase in Health Data Breaches Is Expected in the Year Ahead

Reprinted from Report on Patient Privacy

You can’t miss the headlines: “Coming in 2015: Even more health care data breaches,” “Health care to be ‘plagued’ by data breaches in 2015.” Several organizations have released reports pinpointing the threat health care faces from hackers and malware and predicting growth in breaches this year…. Read Full Story