Ritter Insurance Marketing, Craig Ritter

Overview of Medicare Marketing Guidelines 2016 Changes

I’ve completed my first read through of the 2016 MMG. This blog post will act as a “living” document as I continue to get feedback from insurance companies on how they interpret these changes. I’m certainly going to lay things out as best I can, but sometimes when reading these changes, CMS provides a little…

5 Jul 15
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Justice Department Charges 243 with Medicare Fraud

On June 18, the U.S. Justice Department charged 243 people with $712 million in false billings to Medicare. It was the single-biggest crackdown in an 8-year campaign against health-care fraud.

22 Jun 15
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CVS Health to Acquire & Rebrand Target Pharmacies

On June 15th, it was announced that CVS Health Corporation has agreed to buy Target Corporation’s pharmacy business for $1.9 billion.  After taxes and fees, the deal is worth $1.2 billion to Target. CVS Health will be acquiring, rebranding, and operating over 1,660 Target pharmacies across 47 states, and a CVS/pharmacy will be…

16 Jun 15
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CMS Issues August 14, 2014 Memo on MMG and Agent/Broker Compensation

Here is a link to the memo:  MMG Corrected 8 14 14. Here is a summary of some of the important clarifications:

  • Section 70.6 Telephonic contact – I will probably need more clarification on this clarification.  MMG currently reads, “Agents may contact their own clients and Plans/Part D Sponsors may contact current enrollees at…

    18 Aug 14
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  • CMS Gives Advance Notice of 2014 Medicare Part D Cost Sharing and Deductibles

    On Friday, February 15th, 2013, CMS released the 2014 Medicare Part D deductibles and co-insurance limits for 2014.  This was a part of their “2014 Advance Call Letter” which gives Medicare advantage plans and Medicare Part D plans advance notice of funding for calendar year 2014 so that they can start formulating their bids for…

    25 Feb 13
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    Yuval Levin on Ryan Plan, Paul Krugman and Medicare Advantage

    Yuval Levin’s opinion piece appears on the National Review Online’s “The Corner” blog.  Yuval offers some counterpoint to Paul Krugman’s “The Medicare Killers” opinion in the New York Times.  I’ll admit that I’m not that familiar with Ryan’s Medicare proposal, other than it would not apply to anyone over the age…

    3 Sep 12
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    2013 AHIP Medicare Advantage and Medicare Part D Certification Training

    NEW OFFER:  Click here to learn about our 2013 AHIP Medicare Training Reimbursement Offer! Here is some general information regarding the 2013 AHIP Medicare Advantage and Medicare Part D General Compliance Traning:

    Medicare Advantage and Medicare Part D (PDP) Commissions for 2013

    Following are the MAXIMUM commissions which CMS allows a Health Plan to pay for any 2013 Medicare Advantage enrollment: State of California and New Jersey:

    • First Year Commission for an Initial (NOT like to like) Medicare Advantage enrollment:  $517.00
    • First Year Commission for a Replacement (Like to Like) Medicare Advantage enrollment:  $259.00
    • Renewal Commission…
      27 Jun 12
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    Review of 2013 Medicare Marketing Guidelines for External Insurance Agents

    I’ve had the opportunity to review the 2013 Medicare Marketing Guidelines, so I wanted to share my thoughts on the MMG.  Primarily, this review is through the lens of the external agent or broker, but I’ve included some information on changes that won’t impact the agent day-to-day, but which might be “nice to know”.

    27 Jun 12
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    CMS Published Guide to Medicare Advantage and Part D Enrollment Periods

    Here is a handy guide published by CMS which reviews all of the enrollment periods available to Medicare beneficiaries to enroll in Medicare advantage and Medicare Part D (includes AEP, IEP, ICEP and SEP enrollments). Click here to view.

    20 Mar 12
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