Blog Archives

News about laws, regulations, and guidelines

CMS Kicks-off campaign to prepare for New Medicare Cards for Seniors.

On Tuesday, May 30, 2017, CMS kicked-off a multi-faceted outreach campaign to help providers get ready for new Medicare cards. The Centers for Medicare & Medicaid Services (CMS) is preparing a fraud prevention initiative that removes Social Security numbers from

Posted in Legislative News

Federal Judge Blocks Aetna-Humana Merger

The $37 billion merger between Aetna and Humana insurance companies was blocked by a federal judge Monday, January 23rd, 2017.  Judge John D. Bates stated that there were “serious concerns” that the merger “would be likely to substantially lessen competition

Posted in Company Information, Industry News, Legislative News, Medicare Advantage/Part D Prescription

New Enrollment Period for Medicare Advantage Coming in 2019!

Thanks to the 21st Century Cures Act that was recently signed into law, a new enrollment period for Medicare Advantage will open in 2019. Under the current structure, AEP running October 15th – December 7th, Medicare Advantage plan members are

Posted in Helpful Tips, Industry News, Legislative News, Medicare Advantage/Part D Prescription, Medicare Information, Medicare Supplements

Antitrust Trial for Aetna-Humana Merger Underway

On December 5th, the trial for the antitrust lawsuit filed by the Department of Justice (DOJ) attempting to block the merger of Medicare insurance companies Aetna and Humana began with opening arguments. The Department of Justice filed the suit against

Posted in Company Information, Industry News, Legislative News, Medicare Advantage/Part D Prescription

Trump Election Could Show Big Changes in Health Care

The electoral votes are in, and in one of the most historic elections of modern times, Donald Trump has been declared the President Elect of the United States of America. While many changes are expected under the future Trump administration,

Posted in Affordable Care Act, Industry News, Legislative News, Medicare Advantage/Part D Prescription, Medicare Information

Where do Trump and Clinton Stand on Medicare?

Today is the big day- Election day 2016!  Voters are showing up to the polls in record numbers for one of the most controversial elections in our history.  We’ve heard a lot of talk over the past several months about

Posted in Industry News, Legislative News, Medicare Advantage/Part D Prescription, Medicare Information

Medicare Places “Seamless Conversion” Process on Pause

“Seamless Conversion”, a Medicare-approved process has been placed on hold temporarily pending further directives.  Many seniors have been shocked to discover their automatic enrollment into a Medicare Advantage plan through the little-known process, some by receiving astronomical bills for visits

Posted in Industry News, Legislative News, Medicare Advantage/Part D Prescription, Medicare Information

Cigna Expects to Remain Under CMS Sanctions through AEP 2017

Yesterday, September 6th, Cigna stated in a filing to the U.S. Securities and Exchange Commission that they expect to remain under CMS sanctions for the 2017 Annual Enrollment Period.  This will prohibit them from selling Medicare Advantage and Part D

Posted in Company Information, Industry News, Legislative News, Medicare Advantage/Part D Prescription

Federal Judge Rules ACA Money Spent Unconstitutionally

On May 12th, 2016, U.S. District Court Judge Rosemary Collyer ruled that the Obama administration’s cost-sharing payments were made unconstitutionally.  Payments made towards copayments, coinsurance, and deductibles for ACA members based on income levels were spent illegally as the payments

Posted in Affordable Care Act, Industry News, Legislative News

Clinton Advocates Buy-In to Medicare Option Before Age 65

On Monday, May 9th, Hillary Clinton expressed her favor for those in their 50’s to have the option to buy into Medicare.  Clinton first advocated the option in 2008 and her husband, President Bill Clinton, supported the buy-in option for

Posted in Industry News, Legislative News, Medicare Advantage/Part D Prescription, Medicare Information, Medicare Supplements