Blog Archives

Were patients really sicker? Lawsuits say Medicare Advantage plans inflated diagnoses to boost payments

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 maladies, and

Posted in Government, Medicare Tagged with: , , ,

Controversial home visits duck Medicare’s radar, for now

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 industry.

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

Craig Ritter’s Blog on What Is Emphasized in 2016’s Medicare Marketing Guidelines

As many Stone-Hill agents know, Stone Hill works closely with and admires Craig Ritter’s operation.  We support him as he supports us. To that end, I want to give you access to his blog on CMS’s marketing guidelines for 2016.

Posted in Government, Medicare, Sales & Marketing, Training Tagged with: ,

Protected: BCBS Tennessee Explains CMS’s Commission-Timing Regulation (Contact us for agnt psswrd)

There is no excerpt because this is a protected post.

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

Spiraling Prescription Drug Costs Pummel Medicare in 2014

Source: Wall St. Journal (12/22/2015 ) A new study study released by the Centers for Medicare and Medicaid Services, sure to fuel the raging debate over drug pricing, found that increases of 100 percent or more in prescription drug costs per unit

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

Medicare/HICN Claim Numbers Explained

Health Insurance Claim Number (HICN)—This is the number used by Social Security and Medicare to identify a beneficiary. Social Security is responsible for all eligibility assignment and enrollment into Medicare while Medicare is responsible for oversight and fulfillment of the

Posted in Government, Medicare Tagged with: ,

Links to CMS’s Medicare Marketing Guidelines (MMG)

For your convenience, we have include a link to the page at CMS.gov where the marketing guidelines are offered. Generally, there is a collection of documents, and it is up to you to determine which ones pertain to you. https://www.cms.gov/Medicare/Health-Plans/ManagedCareMarketing/FinalPartCMarketingGuidelines.html

Posted in Government, Medicare, Sales & Marketing, Training Tagged with: ,

CMS Published Compensation for Medicare Advantage Sales for 2016

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