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Payment Increases to Medicare Advantage Plans Lower

April 4, 2006
By jbaker

CMS on Monday said that reimbursement rates for Medicare Advantage plans in 2007 will increase by only about 1.1% on average, rather than 4% as scheduled, because of a technical adjustment of how physicians code beneficiaries for billing, CQ HealthBeat reports. According to CQ HealthBeat, past small increases in reimbursement rates have led to...
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Capitol Hill Watch | House Budget Committee Approves FY 2007 Budget Plan Without Medicare, Medicaid Cuts

March 30, 2006
By jbaker

The House Budget Committee on Wednesday voted 22-17 along party lines to approve a $2.8 trillion fiscal year 2007 budget resolution that does not call for mandatory spending reductions to Medicare or Medicaid, CQ Today reports. President Bush in his budget proposal last month outlined $65 billion in spending reductions from Medicare and other...
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Health Plans Don’t Fear 2007 Medicare Advantage Rates, See Positive Long Term

March 29, 2006
By jbaker

CMS is expected to issue final 2007 Medicare Advantage (MA) payment rates April 3. But some established Medicare managed care organizations aren’t holding their breath: They anticipate satisfactory reimbursement for next year’s MA product lines…. Visit AISHealth to read the entire story.
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CMS Takes Steps To Clean Up Enrollment

March 29, 2006
By jbaker

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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DEADLINE: PDPs, MA-PDs, Cost, and PACE 2007 Applications

March 20, 2006
By jbaker
DEADLINE: PDPs, MA-PDs, Cost, and PACE 2007 Applications

Today is the deadline for all PDPs, MA-PDs, Cost, and PACE 2007 applications. Details on the CMS website.
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Market Responce: Get the Word Out Tours

March 20, 2006
By jbaker

Private providers are hoping to clear up the confusion over the new Medicare Prescription Drug Plan with road trips to enroll new members and by offering information to consumers about competing plans. Representatives for Humana, one such provider, will answer questions for the public from its “Let’s Talk” tour bus, which will be at...
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