Ritter Insurance Marketing, Craig Ritter

Sanctions Against Cigna to Continue into AEP

Annual Enrollment 2016 is coming, but Cigna will be spending this one on the bench as CMS sanctions to their MAPD program continue. The Centers for Medicare and Medicaid Services red-shirted the Connecticut-based company back in January citing, “widespread and systemic failures.” In a recent regulatory filing, Cigna admitted that they “probably can’t fix…

7 Sep 16
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Aetna-Humana Trial Date May Jeopardize Merger

U.S. District Judge John Bates is set to hear arguments on the Aetna-Humana merger on December 5. The deal must close by December 31 or Aetna will have to pay Humana a $1 billion break-up fee. Judge Bates said he expects a decision around mid-January, after a 13-day trial in December. He was originally going…

16 Aug 16
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U.S. Set to Block Two Big Health Insurance Mergers

According to an article published by Insurance Business America, it’s likely that the U.S. Justice Department will file lawsuits against two big health insurance mergers in the process of seeking approval. U.S. antitrust officials are skeptical that the Aetna-Humana and Anthem-Cigna health insurance mergers would favor competition in the industry. Those familiar with the matter report that that…

19 Jul 16
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CMS Suspends Star Rating Reduction Policy, Cigna Benefits

In a surprising move, CMS has immediately suspended its Star Rating reduction policy for sanctioned plans. The government organization sent a memo to all Medicare Advantage organizations and Part D plan sponsors on March 8. This Star Rating reduction policy has played a large role in the calculation of Star Ratings for MA and Part D…

23 Apr 16
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Cigna Hit with CMS Sanctions

CMS has imposed sanctions on Cigna suspending the enrollment of new customers in their Medicare Advantage and stand-alone Prescription Drug Plans. For the time being, agents must cease marketing to and contracting potential enrollees on behalf of Cigna-HealthSpring. Current enrollees in Cigna MA or PDP plans will not be affected. Based on prior cases, CMS…

22 Jan 16
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MA Enrollment on the Rise despite ACA Payment Reductions

In an attempt to limit over-payments to Medicare Advantage plans, the Affordable Care Act (ACA) of 2010 decreased payments to these plans. Despite concerns these reductions would decrease Medicare Advantage enrollment, data in a June 2015 issue brief from The Henry J. Kaiser Family Foundation shows Medicare Advantage enrollment has increased. Here’s a quick summary…

2 Jul 15
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Lifetime Renewals on Medicare Advantage and Medicare Part D – A New Trend?

On Friday, June 1st, 2012, two major insurance companies announced that they will be paying “lifetime renewals” on Medicare Advantage and Medicare Part D.  Aetna announced this for both products and Cigna for just their Part D plans.  In the past, some carriers had extended renewals for up to 10 years, but these are the…

2 Jun 12
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Cigna Completes Purchase of HealthSpring

Here is the story from the Baltimore Sun.  This transaction closed yesterday.  The acquisition of HealthSpring is a major step in building Cigna’s presence in the Medicare Advantage and Part D market.  Prior to adding HealthSpring, Cigna’s business in Medicare Advantage was limited to an HMO plan in the Phoenix market.

1 Feb 12
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Cigna gets Anti-Trust Approval for Acquisition of HealthSpring

Cigna has cleared the first hurdle in it’s acquisition of Medicare advantage provider, HealthSpring.  Here is a link to the story from CBS News. The Cigna/HealthSpring deal was valued at $3.8 billion and was the largest in a series of acquisitions in the Medicare advantage market which…

23 Nov 11
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Cigna Agrees to Purchase HealthSpring

Holy smokes, I didn’t see this one coming!  Cigna is getting back into the Medicare Advantage market in a BIG way.  Here is a link to the story from Businessweek.

24 Oct 11
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