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Archive for February, 2011

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Here is the story from HHS.

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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.)

Here is a link to the report.

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Here is a list of the top PDP plans for 2011 grouped by Parent organization and sorted by 2011 enrollment.  Year over year growth is in the far right column.  I only included plans with at least 10,000 members as of 2011.

2010vs2011Summary_PDP

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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. 

Medicare Advantage 2011 versus 2010

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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!)

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President Obama will unveil his proposed budget for 2012, however, Congress may use the budget process to choke off funds for implementation of Health Care Reform.

The Hill.com follows this story.

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