Ritter Insurance Marketing, Craig Ritter

Hope for Improvement in Medicare Advantage Reimbursements for 2014

Here is a story from Bloomberg.  The basis of improvement in the Medicare Advantage reimbursement is that CMS can make an assumption that Congress will not allow the 25% cut to the Medicare physician fee schedule in 2014.  This is a pretty safe assumption since Congress has never allowed a Sustainable Growth Rate…

28 Mar 13
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State of Florida to Shut Down Universal Health Care Group

Here is the story from Tampa Bay Online.  The story is a little conflicting about whether or not the planned sale of the Texas and Nevada subsidiaries will be allowed to go through.  Also, there will likely be an SEP for the members in these plans to move to another MA carrier in…

25 Mar 13
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How the Affordable Care Act will Impact Medicare Advantage

This is a very good article from the Medicare News Group.  The final reimbursement rates for Medicare Advantage for 2014 are due out on April 1st.  The final number will be very important in terms of what MA plans will look like in 2014.  In a pre-release, CMS projected a 2.2% decrease in reimbursements…

25 Mar 13
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Michigan Passes Law to Allow Blue Cross Blue Shield of Michigan to Operate as a Mutual Insurer

Here is the story from the Detriot Free Press.  This change will give Blue Cross Blue Shield of Michigan more flexibility to acquire and expand it’s business, however, it will be required to pay more in state taxes to Michigan.

19 Mar 13
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AHIP Launches Campaign to Slow Cuts to Medicare Advantage in 2014

This story is reported by “The Hill”.  AHIP will be running TV spots in Washington DC and then will be expanding the campaign to other markets where Medicare advantage is strong.

7 Mar 13
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Medicare Advantage Cuts Will Impact Health Insurer’s Bottom Line

Here is a story from CNBC quoting Matthew Borsch of Goldman Sachs on the impact on earnings of the planned 2014 cuts to insurer’s reimbursements for Medicare Advantage.

7 Mar 13
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Sequester’s Impact Medicare’s Primary Care Physicians

Here is an article from Peter Lipson, a contributor to Forbes.  He is of the opinion that the sequester’s 2% cut to Medicare providers beginning in April will put more pressure on Doctors (especially primary care doctors) to leave the Medicare system. I think it’s pretty certain that this will add more pressure…

5 Mar 13
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Medicare Cuts to Take Effect on April 1st, 2013

The 2% Medicare cuts which are a part of the Sequestration are scheduled to take effect on April 1st, 2013 in the absence of any legislative action taken by the Congress and President in the interim.  Here is a link to the story from the AMA.

4 Mar 13
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Highmark Closes on Jefferson Regional Medical Center

Here is the story from the Pittsburgh Tribune-Review.  Highmark is the largest health insurer in Pennsylvania and an affiliate of the BlueCross and BlueShield Association.  The closing of the deal with Jefferson, valued at $350 million, gives Highmark an anchor hospital in the South Hills of Pittsburgh.  Highmark is also trying to finalize…

2 Mar 13
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