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Health Partners Plans to Enter Medicare Market 27 Aug 2013 | 07:44 am

Here is a link to the article from Philly.com.  Health Partners Plans (formerly Health Partners of Philadelphia Inc.) operated Medicare advantage plans 6 years ago which were sold to Elder Health (whi...

Reporting of Administrative Actions and Criminal Convictions 16 Aug 2013 | 10:15 pm

The following email came from the State of California Department of Insurance. NOTICE TO:  All Admitted Insurers, Insurance Producers, Bail Agents, Independent and Public Adjusters and Other Interes...

Ritter Signs FMO Agreement with Excellus BlueCross BlueShield 14 Aug 2013 | 11:47 pm

You can view the release on Yahoo Finance. Agents can request more information by clicking here:  www.ritterim.com/excellus

Affordable Care Act Provision on Maximum Out of Pocket Cost Delayed Until 2015 13 Aug 2013 | 11:56 pm

Another provision of the ACA was delayed until 2015.  The ACA intended to limit the overall out of pocket spending for individuals and families.  However, since employers and insurers were not able to...

Four Former Wellcare Executives Found Guilty 17 Jun 2013 | 08:54 pm

Here is the link to the press release from the Department of Justice:  http://www.justice.gov/opa/pr/2013/June/13-crm-659.html The former executives were found guilty of Healthcare Fraud and/or making...

AHIP 2014 Medicare Advantage (MA) and Medicare Part D (PDP) Opens June 24th, 2013 6 Jun 2013 | 07:54 pm

The AHIP certification will become available for 2014 on June 24th, 2013.  The 2013 certification will be closing on Friday, June 21st, 2013.  The certification website can be found at www.medicareonl...

CMS Releases Maximum Medicare Advantage and Part D Commissions for 2014 18 May 2013 | 02:03 am

These are the MAXIMUM commissions a company can pay to an individual producer.  Please note, commissions may be less than these amounts, depending on the insurance company’s contract: Medicare Advanta...

CMS 2014 Double Bonus Counties by State 15 Apr 2013 | 12:06 am

I took the 2014 reimbursement data and sorted and filtered it to try and figure out which counties are the double bonus counties.  In theory, the reimbursement for a 4, 4.5 or 5 star plan should be 10...

CMS Releases 2014 Capitation Rates for Medicare Advantage by County and State 14 Apr 2013 | 11:26 pm

I’ve attached an excel file which shows the reimbursement rates by county and state for 2014.  There are 7 columns in the data.  The first 6 columns show the reimbursement for traditional MA by star r...

Center for Consumer Information and Insurance Oversight Releases Grant Information for Health Insurance Navigators 14 Apr 2013 | 11:17 pm

The CCIIO has released information for entities to qualify for grant money ($54 million over the next year) for the establishment of navigators to the health insurance exchanges in 33 states.  Here is...

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