This category addresses all government oversight, regulation, and so on: federal or state. It applies across product lines.
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 …
ObamaCare problems deepen as insurers scramble to stem losses Read more »
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.” …
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 …
Categories of Dual-Eligible Beneficiaries (A Reminder) Read more »
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 …
$1 Billion Medicare Fraud Scheme in Miami Busted by Feds Read more »
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 …
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 …
United Healthcare Expects Huge Losses Published April 19, 2016 FoxNews.com The nation’s largest health insurer, fearing massive financial losses, announced Tuesday that it plans to pull back from ObamaCare in a big way and cut its participation in the program’s …
March 2, 2016 | Diane Hollie Regarding the New Proposed Medicare Marketing Guidelines (MMG) Taking a quick read of the proposed 2017 MMG, our marketing team had some initial thoughts about the proposed changes we would like to share. …
The Good, the Bad, and the Ugly! Proposed CMS Marketing Guidelines Read more »
By Lisa Schencker | November 22, 2014 For an 82-year-old man with diabetes and rheumatoid arthritis, the CMS will pay a Medicare Advantage plan a certain amount of money each month. Add renal failure and hemiplegia to the list of …
By Bob Herman | February 27, 2016 The most interesting thing about the preliminary rate notice for 2017 Medicare Advantage plans may be what federal policymakers left out. The thick document made no mention of health-risk assessments, which surprised the …
Controversial home visits duck Medicare’s radar, for now Read more »