Blog Archives

This category addresses all government oversight, regulation, and so on: federal or state. It applies across product lines.

Aetna-Humana Trial Date May Jeopardize Merger

Aetna-Humana Trial Date May Jeopardize Merger U.S. District Judge John Bates is set to hear arguments on the Aetna-Humana merger on December 5. The deal must close by December 31 or Aetna will have to pay Humana a $1 billion

Posted in Carriers, Government, Insurance, Medicare Tagged with:

Aetna to cut back 70% on Obamacare plans in 2017

Aetna to cut back 70% on Obamacare plans in 2017 Beth Coombs CNBC Aetna (AET) is sharply cutting its participation in Obamacare exchanges for 2017. The health insurer said it will offer individual Affordable Care Act (ACA) exchange plans in just four

Posted in Business Development, Carriers, Government, Insurance, Sales & Marketing Tagged with:

ObamaCare problems deepen as insurers scramble to stem losses

By Barnini Chakraborty Published August 10, 2016 Aetna is facing $300M in losses from ObamaCare exchanges. Six years after ObamaCare was signed into law – and countless assurances later that the law is “working” – America’s major insurance companies are

Posted in Government, Health/Wellness, Insurance Tagged with: , , , , , , ,

The Big ObamaCare Bubble

  Editor’s note: The opinions in this article are the author’s, as published by our content partner, and do not necessarily represent the views of MSN or Microsoft. “No one can see a bubble. That’s what makes it a bubble.”

Posted in Government, Health/Wellness, Insurance Tagged with: , ,

Medicare Part D Standard Benefit or Actuarial Equivalent (2017)

Part D plans must cover at least the Part D standard benefit or its actuarial equivalent. For 2017, the standard benefit requires the beneficiary to pay the following share of total coverage: $400 deductible 25% of prescription drug costs between $400 and

Posted in Government, Insurance, Medicare Tagged with: , , , ,

Categories of Dual-Eligible Beneficiaries (A Reminder)

Here are the categories of dual eligible beneficiaries and out-of-pocket costs that are paid by Medicaid: QMB (only) (Qualified Medicare Beneficiary) – Medicare Part A and Part B premiums; cost sharing for Part A & Part B benefits. QMB Plus –

Posted in Government, Medicare Tagged with: , , , , ,

2017 Medicare Certification Instructions (Ongoing Construction)

Aetna 2017 Certification Products: Medicare Advantage (MA) Medicare Advantage Prescription Drug (MAPD) Prescription Drug Plans (PDPs) Certification Start Date: Live What’s Required to Sell 2017 MA/MAPD and PDP Plans? Agents must successfully complete the Aetna Individual Medicare annual certification process

Posted in Agent Only, Carriers, Government, Medicare, Training Tagged with: , , , , , , , , , , , ,

$1 Billion Medicare Fraud Scheme in Miami Busted by Feds

by Precise Leads August 2, 2016 Last week, prosecutors revealed that federal authorities have broken up the largest Medicare scam in U.S. history, in which the three defendants stole more than $1 billion over 14 years. Three Florida residents have been

Posted in Government, Medicare Tagged with: ,

Medicare Mergers 2016

UnitedHealthcare Keeps Top Spot Amid Pending Mergers Posted: 02 Aug 2016 12:50 PM PDT UnitedHealthcare continues to enjoy the top spot in health insurance as Anthem and Aetna prepare to fight federal lawsuits against their proposed mergers with Cigna and

Posted in Boomer Products, Government, Insurance, Medicare Tagged with: , , , , ,

Medicare Advantage Enrollment Continues to Climb, but Financial Protections for Enrollees Are Eroding 

Article was taken from the Kaiser Foundation Website (searched “online Medicare enrollments”) Jun 30, 2015 Enrollment in Medicare Advantage continues to climb steadily as spending reductions enacted in the Affordable Care Act reduce historical overpayments to the private plans, according

Posted in Government, Medicare Tagged with: , , , , ,