ACA Enrollment Downgraded Once Again by CBO

Posted by & filed under Affordable Care Act, News, Under 65.

An estimated 12 million Americans will buy coverage through Affordable Care Act marketplaces this year. That’s according to the latest report by the Congressional Budget Office. Their ACA enrollment estimate was downgraded from 13 million enrollments predicted in January. This most recent downgrade is hardly surprising. CBO has repeatedly reduced their ACA enrollment estimates…

The Provider Network Change SEP Few Agents Know Exists

Posted by & filed under CMS, Medicare Advantage, News.

Agents know Medicare beneficiaries can only make changes to their health coverage during the short 54-day Annual Enrollment Period (AEP), unless they qualify for a Special Enrollment Period (SEP) at some point throughout the year. However, what many agents don’t know is that seniors enrolled in Medicare Advantage (MA) plans may qualify for one SEP…

CMS Reimbursements for MA Plans Less than Expected

Posted by & filed under Affordable Care Act, AHIP, CMS, Insurance Products, Medicare Advantage, Part D, Retirement, Uncategorized.

The recent announcement of a .85 percent increase in reimbursements to Medicare Advantage plans is a surprising twist on the trend we’ve come to expect. After an initial proposal of 1.35 percent increase in February, the Centers for Medicare and Medicaid Services revised their figure based on estimates of how much medical services…

The New Face of Identity Theft

Posted by & filed under News.

Forget your credit cards or social security number. Health care records are the latest target for hackers looking to steal your identity, and thefts are up 11,000 percent from 2015. Why the surge? Unlike other forms of identity theft, health care records arm a thief with a great deal of personal information. In addition…