CMS has planned a major overhaul of their MARx system impacting enrollment file layouts and changes to TRR processing in April 2011. Here is a run down of the changes: IMPACTED SYSTEM / INTERFACE DESCRIPTION FROM TO Enroll Disenroll File Combining transaction codes 60, 61, 62 and 71 in to a single transaction code...
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Enrollment
Be Prepared for Spring 2011 MARx System Upgrades! Will You Be Ready?
VIVA Health, Inc. Selects Dynamic Healthcare Systems Suite
Dynamic Healthcare Systems, a provider of enterprise technology solutions for Medicare-focused health plans, today announced that VIVA Health, Inc., a managed care company with over 32,000 Medicare Advantage members, purchased the Voyager suite including the following modules: Sales/Marketing, Enrollment, Reconciliation, HCC Analytics, RAPS Management and Premium Billing. Dynamic Healthcare Systems is designed to...
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CMS Takes Steps To Clean Up Enrollment
Last week CMS notified Medicare prescription drug plan sponsors of the process for reconciling plan enrollments to ensure that all beneficiaries who have elected to change plans are appropriately disenrolled from their initial plan by April 30, 2006. To ensure that all enrolled beneficiaries would have access to prescription drug coverage in the early...
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Bush Says He Opposes Extending Deadline for Medicare Enrollment
Bloomberg is reporting, President George W. Bush said he opposes extending the deadline to sign up for a new Medicare prescription drug benefit even though some of the people who are eligible may be confused about the program.
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Highlights From January 26 Region IX Stakeholder Call
Following is a brief overview of the stakeholder conference call lead by Jeff Flick today: States On Track To Federal Part D Reimbursement – The Federal Government is moving to quickly provide a process to reimburse states who have stepped up to be the payer of last resort for duel Medicare beneficiaries who have...
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WSJ article on Part D Enrollment
In this article The Wall Street Journal outlines the aggressive land grab going on right now in the Medicare marketplace as plans use Part D enrollment to capture new applicants and then attempt to migrate them to a full Medicare Advantage program. Also, the article discusses AARP’s influence on the senior population and the success some...
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NEW Report: Tracking Medicare Health And Rx Plans
January 6th, 2006 – Monthly Report for December 2005 The Kaiser Family Foundation releases a great monthly update on activites that impact Medicare Advantage and PartD businesses. Credits: Prepared by Stephanie Peterson and Marsha Gold, Mathematica Policy Research Inc. as part of work commissioned by the Kaiser Family Foundation Download MA Plan Tracking Report
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CMS: Serving Pharmacists Is Serving Beneficiaries
As we continue to address Medicare drug benefit implementation issues with Plans, one message we are trying to instill in everyone is that the best way to serve plan beneficiaries is to make the process easy for pharmacists. To that end, we hope that you will take a moment to read these tips from...
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Delay In The Implementation Of The Deficit Reduction Act of 2005
According to a December 30, 2005 CMS press release, The delay in the implementation of the Deficit Reduction Act of 2005 will delay the following changes among many others: As required under current law, claims for physicians’ services on or after January 1 will be paid with the -4.4 percent reduction from 2005 levels....
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