Posts Tagged ‘ MAPD ’

Lookin’ Good In Those Genes!

08/17/2010
By Lucy Dylan
Lookin’ Good In Those Genes!

People all over the world are living longer. Worldwide, few people reach the age of 100, and those who do are often celebrated for their longevity. Only one out of every six thousand people will blow out the candles on their 100th birthday cake. Even fewer people (one out of every...
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Fighting Medicare Fraud

07/15/2010
By Lucy Dylan
Fighting Medicare Fraud

Every year, both seniors and the government lose quality health care and billions of dollars to corrupt providers. Medicare fraud isn’t new, but as the new health care reforms have passed, fraud has been in the spotlight. Medicare fraud affects everyone, from the government to seniors to taxpayers.
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What Will the New Medicare Advantage Plan Ranking System Look Like?

07/01/2010
By Lucy Dylan
What Will the New Medicare Advantage Plan Ranking System Look Like?

Although the Advantage ratings purportedly help seniors weed out the best possible plans, the ratings system is flawed and most seniors rely on a combination of plan costs and benefits to determine which plan they want. The impending Medicare reforms will be rewarding top-ranked Advantage plans with bonuses, despite the obvious flaws within the...
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Posted in Reform | 3 Comments »

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 »

Medicare Doughnut Hole Closing

06/26/2009
By Annie Finneran

President Barack Obama announced on Monday that he plans on closing the gap in prescription drug coverage for senior citizens.
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Posted in Politics | 2 Comments »