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Archive for October 27th, 2009

I haven’t seen much talk about this, but there is a new provision in the Managed Care Manual under Chapter 3 – Marketing Guidelines (click to view manual). If you go to page 153 in section 120.5.4, you will find the following in the third bullet:  Plan sponsors should pay compensation in accordance with the structure [...]

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Here is a link to watch the 60 Minutes report.  http://www.fancast.com/tv/60-Minutes/97707/1307867823/60-Minutes%2C-10.25.09/videos The section on Medicare Fraud starts around 2:30 and runs about 14 minutes to 16:30. There are a lot of people who point to Medicare’s low administrative cost as a positive, but $60 Billion/year in fraud is a high price to pay for low [...]

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