Author Archive

Crackdown on Medicare Fraud

02/24/2010
By Bill Stapleton

Medicare fraud is among the most common types of health care fraud. The Obama administration has requested a funding increase in an effort to cut down the Medicare fraud. These efforts have been successful in the Miami area, which has the highest rates of both Medicare fraud and prosecutions.
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Posted in Medicare Fraud and Scams | 1 Comment »

Cigna PFFS Plan to Close

02/19/2010
By Bill Stapleton

Effective February 1, 2010, Cigna is closing their CIGNA Medicare Access PFFS plans to OEP enrollments. CIGNA will still accept clients enrolling during their individual election period (those aging in to Medicare or newly eligible to Medicare) and those with a Special Enrollment Period. Current clients who have CIGNA Medicare Access PFFS will not see...
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Posted in Health Insurance Carriers | No Comments »

CMS and MIPPA Rules

01/27/2010
By Bill Stapleton

After going through another Medicare Annual Enrollment season, it is hard to believe just how many rules are listed and enforced by CMS.
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Avoiding Medicare Insolvency in 2016

01/08/2010
By Bill Stapleton

The recent Senate bill entitled "The Patient Protection and Affordable Care Act" is intended to bring insurance to many uninsured Americans and to help the Medicare program avoid insolvency, which is projected to happen in 6 years. Unfortunately, the bill will probably have just the opposite effect.
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Senator Baucus and CMS Slam Humana

09/23/2009
By Bill Stapleton

In light of the recent letters sent out to their Medicare Advantage beneficiaries, insurance company Humana now faces the possibility of heavy fines and may even be kicked out of the Medicare Advantage market by federal healthcare agency, CMS. This seems like a pretty harsh penalty for a one page letter informing seniors that...
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Posted in Health Insurance Carriers, Medicare Fraud and Scams, Reform | No Comments »