Molina Healthcare to Acquire Certain Medicare Advantage Assets from Aetna and Humana

August 2nd, 2016 | By: Business Wire Molina Healthcare, Inc today announced that it has entered into definitive agreements to acquire certain Medicare Advantage assets from both Aetna Inc. and Humana Inc. There transactions are related to Aetna’s proposed acquisition of Humana. Molina’s acquisition of such Medicare Advantage assets is subject to CMS approvals and…

CMS selects markets for new primary-care payment initiative

August 1st, 2016 | By: Virgil Dickson The CMS will launch an ambitious primary-care quality improvement initiative in 14 regions, including 11 whole states. The states include Arkansas, Colorado, Hawaii, Michigan, Montana, New Jersey, Oklahoma, Oregon, Rhode Island, and Tennessee.  The markets for the Comprehensive Primary Care Plus, or CPC+ initiative are the Greater Kansas…

10 Medicare facts for agents who know everything

  May 25th, 2016 | By: Allison Bell Some Medicare product agents would just as soon keep things simple. They aim to learn what’s in the issuers’ product information packets and what they need to know to pass licensing and certifications exams, and that’s about it. Other Medicare product agents and brokers believe that knowledge…

National Health Spending to Surpass $10,000 a Person in 2016

July 13th, 2016 | By Robert Pear National health spending will average more than $10,000 a person this year for the first time, the Obama administration said Wednesday, a milestone that heralds somewhat faster growth in health spending after several years of exceptionally low growth. By 2025, the administration reported, health care will represent 20…

CMS Proposes Hospital Outpatient Prospective Payment Sytem Changes

July 7th 2016 CMS Proposes Hospital Outpatient Prospective Payment System Changes to Better Support Physicians and Improve Patient Care Today, the Centers for Medicare and Medicaid Services (CMS) proposed updated payment rates and policy changes in the Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System. Several of the proposed policy…

Meet the Medigap players

June 25th, 2016 | By: Bob Herman  Many of the largest carriers sell Medicare supplemental insurance. UnitedHealthcare, the health insurance unit of UnitedHealth Group, dominates the Medigap market because of its relationship with AARP. More than 4 million seniors had a UnitedHealthcare Medigap plan in 2015, or about one-third of the entire Medigap population. Blue Cross…