Medicare business news on MA, PDP and related topics

Digital Transformation Piece by Piece: A Game Plan for the Unshakable Healthcare Payer



“Medicare is committed to empowering seniors to choose high-quality health and drug plans that fit their needs and the needs of their families. More high-quality choices mean improved quality care and better customer service at lower cost. Medicare Open Enrollment begins soon and the star ratings helps people with Medicare shop to find the best choice possible.”
-Seema Verma, CMS, Administrator


73% of enrollees in Medicare Advantage plans with prescription drug coverage (MA-PDs) will be in plans rated with four stars or higher in 2018, compared to roughly 69% this year, according to the Centers for Medicare & Medicaid Services. Overall, 44% of MA-PDs that will be offered in 2018 earned four stars or higher, compared to 49% in 2017. CMS also noted that approximately 47% of enrollees in standalone prescription drug plans will be in plans with four and five stars next year, compared to about 41% in 2017.

Excerpted From: Fierce Healthcare

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Inside MACRA: The MIPS Track Explained  

Inside MACRA: The MIPS Track Explained

MACRA seems to raise more questions than answers, and providers are eager to understand the path forward. There is a maddening swirl of new acronyms joining an already confusing landscape of regulations and reporting changes.


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Nine Things To Know From CMS About 2018 Medicare Advantage/PDP Open Enrollment

1. MA 2018 Enrollment is projected to be 20.4 million (18.7 million in 2017)
2. Average MA monthly premiums will decrease by $1.91 to $30 in 2018
4. Click to continue

 Source: CMS, 2018 Medicare Advantage and Part D Prescription Drug Program Landscape

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