Ritter Insurance Marketing, Craig Ritter

Social Security Numbers to be Removed from Medicare Cards

This story was reported by the NYT.  The use of Social Security numbers has been forbidden by insurance companies for many years, however, Medicare continues the practice of using the SSN as a part of the Medicare Claim Number.  Based on this mandate, Medicare will need to employ a new identification method for…

21 Apr 15
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CMS 2016 MA Reimbursement Announcement Tonight

It’s that time of year again. CMS is announcing the 2016 Medicare Advantage reimbursement rates at 5 p.m. tonight. Check back soon for a link to the announcement and key takeaways.

6 Apr 15
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Obama Ready to Sign SGR Repeal Bill

This just in from the AP.  The President wasn’t specific on endorsing any particular bill.  The expectation is that the House will vote on their bill tomorrow and the bill will then go to the Senate.  The bill is expected to pass at the House, but may get a chillier reception in the…

25 Mar 15
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House Unveils Bill to Repeal Sustainable Growth Rate; Includes Changes to Medigap

Here is a link to a summary of the bill. The important piece for insurance agents and insurers is found on page 4 in sections 401 and 402.  Starting in 2020 for new Medicare beneficiaries only, Medigap would not be allowed to cover the Part B deductible (the summary says $147/month, but actually,…

24 Mar 15
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Select Medical to Acquire Concentra from Humana

Humana acquired Concentra in 2010 as a part of a move to expand it’s access for it’s integrated care delivery model.  Humana is selling Concentra to a Joint venture of Select Medical and an equity partner.  Humana commented that they believe that primary care is a better fit for their integrated care, as opposed to…

23 Mar 15
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House of Representatives Close to Passing SGR Fix

Here is an article from Robert Pear of The New York TImes. The Sustainable Growth Rate (SGR) was enacted with the Balanced Budget Act of 1997 and caps increases to providers.  For the past 12 or so years, Congress has allocated additional funding to cover up the affects of the SGR.  Under existing…

23 Mar 15
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HealthPlus of Michigan Placed on CMS Sanctions

HeatlhPlus of Michigan is a regional health plan with a little under 10,000 Medicare advantage members in Michigan.  Last week, CMS placed them on immediate marketing sanctions due to a Notice and Order of Supervision that was placed on HealthPlus of Michigan by the Michigan Department of Insurance and Financial Services.  Here is a link…

17 Mar 15
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CMS Moves ACA Enrollment for 2016 to November 1st, 2015 through January 31st, 2016

There was tremendous concern about the Open Enrollment for ACA and Medicare entirely overlapping.  On Friday, CMS changed the Open Enrollment for 2016 for ACA enrollment to November 1st, 2015 through January 31st, 2016.  The Medicare Open Enrollment will remain October 15th through December 7th. See Page 8 of the 2016 ACA Call…

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