Ritter Insurance Marketing, Craig Ritter

Universal Health Care Group Buyout Falls Through

I recently blogged about the agreement of MBF Healthcare Partners to acquire Universal Health Care Group.  That deal has reportedly fallen through according to the HealthNewsFlorida website.

31 Jan 13
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How Much Money is Lost to Fraud in Medicare?

Medicare fraud, waste and abuse is a major focus for CMS.  FBI estimates fraud can run from 3% to 10% of health care spending, an enormous figure ($17 to $57 Billion/year).  Here is an article from Medicare News Group on the topic.

30 Jan 13
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OIG Reports Medicare Paid $120 Million for Services to Prisoners and Illegal Immigrants

Here is the story from the Washington Post. . .I think the title pretty much says it all.  PPACA has devoted more funds to prevent Medicare waste, fraud and abuse.

27 Jan 13
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Anthem Adds Hospitals to Medicare Advantage Networks in Indiana and New Hampshire

Anthem added 8 hospitals associated with Indiana University effective 12/15/12 to improve their provider network in Indiana for their Medicare Advantage plans. In New Hampshire, Anthem added Portsmouth Regional Hospital and Parkland Medical Center effective 1/1/13 to improve their Medicare Advantage plan’s networks there.

27 Jan 13
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MBF Healthcare Partners Acquires Universal Health Care Group

Here is an article from the Tampa Bay Times. Earlier this month, Universal Health Care Group announced that it would not be paying agents commissions on new sales in the majority of states (with the exception of Texas and Nevada HMO’s).  This was primarily due to some consent orders to stop writing new…

27 Jan 13
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Will There be a Mandate Plus Added to the Individual Mandate

Click here for the full article from the Politico. There is widespread concern among experts that the individual mandate (Penalty or Tax) over the next 2 years will not be sufficient to induce the young and healthy to sign up for health insurance.  Some of the proposed “enhancements” to the individual mandate which…

26 Jan 13
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Study Finds Medicare Beneficiaries are More Likely to Enroll in Plans with Higher Star Ratings

Here is a link to the article from the Journal of the American Medical Association (JAMA).  The study finds a positive correlation between a plan’s star rating and the likelihood of a Medicare beneficiary to enroll in a plan.  For new to Medicare advantage, a 1-star rating increase resulted in a 9.5% increase…

17 Jan 13
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Does Medicare Advantage Deliver Healthcare More Cheaply than Traditional Medicare?

Interesting article from Uwe Reinhard, an economics professor at Princeton University.  Historically, I looked at the average bid prices of MA plans generally (98% in 2012) and HMO’s more specifically (95% in 2012).  There is a table near the end of the article which illustrates the bid prices both overall and by plan…

6 Jan 13
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2013 Ushers In Higher Taxes for All American Workers

While the House is still set to vote on the Senate Bill to avoid the “Fiscal Cliff”, it seems clear that all Americans with a job will pay higher taxes in 2013. For starters, the “Payroll Tax Holiday” looks like it will expire which will cost all workers an additional 2% on their payroll taxes. …

1 Jan 13
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