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 …

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

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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. …

Controversial home visits duck Medicare’s radar, for now Read more »

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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. …

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

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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 …

Spiraling Prescription Drug Costs Pummel Medicare in 2014 Read more »

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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 …

Links to CMS’s Medicare Marketing Guidelines (MMG) Read more »

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