Archive for February, 2011
CMS has proposed a Demonstration project for 2012 which would expand on the importance of Star Ratings for Medicare Advantage carriers. MA Carriers would be receiving reimbursement increases based on the star ratings and would be able to qualify for bonuses at the 3 star and above levels.
The issue paper looks at the existing ratings and breaks them down in a number of ways (ratings based on type of MA product, like HMO versus PPO, Urban ratings versus Rural ratings, Non-Profit versus For Profit, etc.)
Our database guru sliced and diced the Feb 2011 versus Feb 2010 enrollment data to come up with the big winners and losers for 2011 MA enrollment. Here is a copy of the PDF which is aggregated by Parent Organization and then sorted by 2011 enrollment.
Today, February 14th, 2011, is the last day of the MADP (Medicare Advantage Disenrollment period). Those with Medicare Advantage plans will not be allowed to disenroll after today in the absence of some other Special Election Period.
Keep in mind, using the MADP does not trigger “guarantee issue” rights for Medigap. Here is a piece CMS put out to clarify some confusion on the MADP. (hopefully we won’t have this again next year!)