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Save the date: 2020 Aetna producer certification begins July 10th

Posted by www.psmbrokerage.com Admin on Tue, Jun 11, 2019 @ 01:56 PM


The producer certification process for 2020 Aetna Medicare MA/MAPD products kicks off on July 10th. Certification is one of the annual requirements you must complete to sell Aetna 2020 plans during AEP. Their 2020 producer certification includes AHIP, plus several Aetna-specific training modules, and costs only $125 (retail prices is $175).
 
So even though AHIP plans to release their 2020 courses on June 17, we encourage you to wait and complete AHIP through Aetna's certification process starting July 10. It’s an easy way to save $50.

Link to certification will be available here when launched on July 10th.

Image: www.Canva.com

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Tags: Medicare Advantage, Medicare, aetna

What Percent of New Medicare Beneficiaries Are Enrolling in Medicare Advantage?

Posted by www.psmbrokerage.com Admin on Mon, Jun 10, 2019 @ 05:04 PM


People new to Medicare can receive their Medicare benefits through either traditional Medicare or private plans, such as HMOs or PPOs, known as Medicare Advantage plans. Older adults and younger beneficiaries with disabilities have said that they make this choice based on premiums and out-of-pocket costs, access to desired providers, the reputation of the company offering the plan, ads and other marketing materials, and the advice of brokers, family members and friends. Medicare Advantage offers one-stop shopping, with all Medicare benefits in one combined package, and enrollees may have lower out-of-pocket costs than those in traditional Medicare, with an out-of-pocket cap and coverage of some additional benefits, such as eyeglasses. Beneficiaries in traditional Medicare have open access to providers and fewer administrative hassles, such as prior authorization and referral requirements.

One line of thinking has been that the Baby Boom Generation will enroll in Medicare Advantage plans over traditional Medicare at much higher rates than prior generations because they have had more experience with managed care during their working years. Our prior analysis found that, in 2011, nearly one in four people enrolled in Medicare Advantage plans during their first year on Medicare. This brief examines whether the rate has increased with more boomers aging onto Medicare, and whether these coverage decisions vary by geographic area and select characteristics. The analysis is based on a five percent sample of claims from 2010 to 2016.

Enrollment Rates

In 2016, Less than one-third (29 percent) of new beneficiaries enrolled in Medicare Advantage plans during their first year on Medicare, slightly more than the 23 percent observed in 2011, but far from a majority (Figure 1). Most new beneficiaries (71 percent) were covered under traditional Medicare for their first year on Medicare.

Read the full report


Image: www.Canva.com

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Tags: Medicare Advantage, Medicare

Payment Glitch Interrupts Automatic Medicare Advantage and Part D Premium Withdrawals

Posted by www.psmbrokerage.com Admin on Mon, Jun 10, 2019 @ 04:35 PM

Payment Glitch Interrupts Automatic Medicare Advantage and Part D Premium Withdrawals


Earlier this year, a federal government systems issue prevented Medicare Advantage and Part D premiums from being automatically deducted from the Social Security payments of some people with Medicare. Normally, if a beneficiary elects, Social Security deducts the premiums and sends them directly to the plan. In this instance, the payments were not sent to the plans, and beneficiaries did not know that their plans were not receiving them.

While the issue has since been resolved and premium payments should be processed correctly moving forward, Medicare Rights remains concerned about the scope of the processing error and the potential impacts on beneficiaries—including confusion, financial hardship, and coverage losses.

According to the Centers for Medicare & Medicaid Services (CMS), affected individuals include those who were “enrolled either in a Medicare Advantage Plan or in a Medicare Prescription Drug Plan for coverage starting January 1, 2019” and chose to have their premiums automatically deducted from their monthly Social Security benefit, rather than pay the plan directly.

However, it’s not yet clear how many of these enrollees were affected, if those who were have been made aware, or how much they might owe. The Social Security Administration (SSA) notes that “Plans will be sending premium bills to those affected. If you are affected and haven’t already received a bill in the mail, you will soon. The first bill will likely be for a larger amount than usual to make up for the unpaid premiums.”

Importantly, plans must offer enrollees a “grace period” to repay the missed premium payments, which must last at least as long as the delay in billing. Plans also have the option not to pursue these outstanding payments.

CMS advises beneficiaries to call their plan directly with any questions or concerns. Medicare Rights’ Helpline counselors are also available at 800-333-4114, and enrollees may want to contact their local SHIP or 1-800-Medicare for assistance.

Medicare Rights appreciates federal agency and plan efforts to educate affected enrollees and we encourage them to continue to work together to hold beneficiaries harmless.

Read the CMS notice.

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Tags: Medicare Advantage, Medicare, Medicare Part D

Lyft Hails Medicare Advantage As Next Profitable Ride

Posted by www.psmbrokerage.com Admin on Thu, May 30, 2019 @ 03:09 PM

Lyft Hails Medicare Advantage As Next Profitable Ride


Lyft is signing new contracts and targeting a booming number of Medicare beneficiaries choosing private Advantage plans as a lucrative new growth area for the ride-sharing company.

New rules that allow health insurance companies to include more supplemental benefits in their Medicare Advantage plans is opening the door to Lyft and rivals to have more of their services woven into benefits for next year. Health plan bids to participate in Medicare Advantage for 2020 are due Monday, June. 3.

"We expect to be working with the majority of the largest MA plans by 2020,” said Lyft’s vice president of healthcare Megan Callahan, who was hired last year to lead the company’s growing healthcare businesses.

Medicare Advantage plans contract with the federal government to provide extra benefits and services to seniors, such as disease management and nurse help hotlines, with some even providing vision and dental care and wellness programs.

But the ability of Medicare Advantage plans to integrate ride-sharing services into bids is taking off given new rules announced last year  “reinterpreting the standards for health-related supplemental benefits in the Medicare Advantage program to include additional services that increase health and improve quality of life.”

As health insurers move away from fee-for-service medicine to value-based care and population health models that make sure patients are getting quality care in the right place and at the right time, ride-sharing companies say they can have a key role.

Source: https://www.forbes.com/sites/brucejapsen/2019/05/30/lyft-hails-medicare-advantage-as-its-next-profitable-ride/#6b5674cc41d1

Image: Lyft

 
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Tags: Medicare Advantage, Medicare, Lyft

2020 Medicare Advantage and Part D Commission Rates

Posted by www.psmbrokerage.com Admin on Wed, May 29, 2019 @ 01:48 PM

Contract Year 2020 Agent and Broker Compensation Rate-1


DATE: 
May 24, 2019

TO: Medicare Advantage Organizations, Prescription Drug Plan Sponsors, Section 1876 Cost Plans, and Medicare-Medicaid Plans

 FROM: Kathryn A. Coleman / Director

SUBJECT: Contract Year 2020 Agent and Broker Compensation Rate, Referral/Finder’s Fees, Submissions, and Training and Testing Requirements

This memorandum provides contract year (CY) 2020 compensation and referral/finder’s fee limits for agents and brokers, directions for submitting amounts into the Health Plan Management System (HPMS), as well as training and testing requirements.

Compensation Rates and Referral/Finder’s Fees for CY 2020

As provided in 42 C.F.R. §§422.2274(b)(1) and 423.2274(b), the compensation amount an organization pays to an independent agent or broker for an enrollment must be at or below the fair market value (FMV) cut-off amounts published yearly by the Center for Medicare and Medicaid Services (CMS). 42 C.F.R. §§422.2274(h) and 423.2274(h) states that referral/finder’s fees paid to independent, captive, or employed agents may not exceed a CMS specified amount. Additionally, referral/finder’s fees paid to independent agents/brokers must be included in FMV for that CY.

The CY 2020 FMV cut-off amounts for all organizations and referral/finder’s fees are as follows:

2020 MA PAY RATES-1


Agent Fair Market Value Payment History:

Year

National

CT, PA, DC

CA, NJ

PR

PDP

2015

408/204

461/230

510/255

280/140

56/28

2016

429/215

483/242

536/268

294/147

63/32

2017

443/222

498/249

553/277

304/152

71/36

2018

455/228

511/256

567/284

312/156

72/36

2019

482/241

542/271

601/301

331/166

74/37

2020

510/255

574/287

636/318

350/175

78/39


NOTE: The FMV amounts for CY 2020 may be rounded to the nearest dollar. The Initial Year amount is the maximum allowable amount that organizations may pay for enrollments during compensation cycle-year 1. The renewal amount is the maximum allowable amount that organizations may pay for enrollments during compensation cycle-years 2 and beyond.

Compensation Rate Submission for CY 2020

As in past years, all organizations must inform CMS via HPMS whether they are using employed, captive, or independent agents. Organizations that use independent agents must provide the initial and renewal compensation amount or range of amounts paid to these agents. Additionally, if an organization pays referral/finder’s fees, the organization must disclose the amount. CMS has provided instructions for data entry in the HPMS Marketing Module User Guide.

Organizations must submit their agent/broker information in the HPMS Marketing Module between June 1, 2019 and July 26, 2019, 11:59 pm EST. Please note that CMS does not consider the submission process complete until the organization’s CEO, COO, or CFO has completed the attestation in HPMS. Organizations that fail to submit and attest to their agent and broker compensation data by July 26, 2019 will be out of compliance with CMS requirements.

Organizations will not be able to make changes to those submissions after the July 26, 2019 deadline.

CMS expects organizations to keep full records documenting that they are updating compensation schedules and paying agents and brokers according to CMS requirements.

Please note that CMS will make the CY 2020 organization-submitted compensation information available for the public to view on www.cms.gov prior to the annual election period for CY 2020.

Curricula for Training and Testing Agents and Brokers for CY 2020

Regulations at 42 C.F.R. §§422.2274 and 423.2274 require that organizations train and test all agents and brokers selling Medicare products, including employees, subcontractors, downstream entities, and/or delegated entities annually on Medicare Parts A, B, C, D, and plan specific information. CMS further requires that all agents and brokers obtain an 85% passing rate on the test.

In order to ensure the quality of agent and broker training and testing programs, CMS annually provides minimum training and testing requirements to organizations. Organizations should review these requirements before developing their own agent and broker training and testing programs to ensure compliance with CMS requirements. CMS permits and encourages organizations and third-party training and testing vendors to include other relevant topics, in addition to the minimum required elements.

PDF Link to announcement

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Tags: Medicare, Part D, medicare advantage enrollment,

Medicare Supplement Enrollment Up Nearly 4% in 2018

Posted by www.psmbrokerage.com Admin on Wed, May 22, 2019 @ 10:40 AM


The rapidly expanding U.S. senior population continues to present increasing opportunities for health insurers offering Medicare Supplement plans. Many leading managed care organizations, Blues plans, regional plans, and multiline carriers compete in the Medicare Supplement (also known as Med Supp or Medigap) arena. As of December 31, 2018, the Med Supp market experienced yet another year of membership growth.  Based on performance data filed in annual financial statements from the NAIC (National Association of Insurance Commissioners), enrollment in Medicare Supplement plans was almost 13.6 million as of December 31, 2018, up 3.95% year-over-year. 

Mark Farrah Associates (MFA) identified 196 distinct carriers that filed annual data with the NAIC.  Breakdowns of in-force policies show that carriers issued policies to almost 5.3 million new members written in the last three years. Carriers reported an aggregate of 8.3 million members covered by older policies that had been issued prior to the year 2016. This brief provides an overview of the Medicare Supplement market with insights about competitive positioning and standardized plan type preferences.

 


Medicare Supplement carriers added approximately 517,000 covered lives to their portfolios between December 31, 2017 and December 31, 2018.  About 17% of this market growth is attributed to UnitedHealth’s membership increase. Among standardized plans A-N, Plan F covers the annual Medicare Part B deductible and offers the most comprehensive benefits. Per the graph below, Plan F enrolled almost 7.05 million Med Supp members and accounted for approximately 52% of the market.  However, this number decreased by 15,000 year-over-year. 

This decline in Plan F membership is largely due to a provision in the Medicare Access and CHIP Reauthorization Act of 2016 (MACRA). Beginning January 1, 2020, Plan F will no longer be an option for newly eligible Medicare enrollees, whereby supplemental plans covering the Part B deductible can no longer be purchased. Beneficiaries who continue to pay their existing Medicare Supplement Plan F premium will not lose that coverage. This policy change has begun the shift in growth from Plan F into Plans G and N which are widely seen as viable alternatives to Plan F.  Both Plans G and N continued to experience year-over-year increases with Plan G notably enrolling 645,000 new members; a growth rate of 39%.


The Medicare Supplement market remains an attractive line of business for carriers.  Med Supp plans collectively earned approximately $31.3 billion in premiums and incurred $24.7 billion in claims during 2018, up from 2017.  The aggregate loss ratio (incurred claims as a percent of earned premiums) was 78.9% in 2018, an increase from 77.7% in 2017.


The top 10 companies command almost 69% of the Med Supp market with approximately 9.4 million members. UnitedHealth, with its longstanding contract with AARP, continues to hold 34% of the market with more than 4.5 million members. Mutual of Omaha ranked second with 10% market share and approximately 1.4 million members as of December 31, 2018. CVS, formerly Aetna, supplanted Health Care Service Corporation (HCSC) as the third largest plan in 2018, with 702,000 enrolled.   Anthem remains in the fifth ranking position for market share with over 590,000 members and Cigna experienced strong growth, increasing its membership by 129,000 members, with over 560,000 enrolled. 


With over 65 million Medicare beneficiaries residing in the U.S., Medicare Supplement policies continue to be a viable option for seniors, as these plans can help pay some of the medical costs not covered by Original Medicare. Therefore, insurers continue to diversify their senior market portfolios to leverage opportunities across all product lines and expand product options in order to keep up with industry trends. 

Source: https://www.markfarrah.com/mfa-briefs/medicare-supplement-enrollment-up-nearly-4-in-2018/

Image: www.Canva.com

Additional Updates:
 

Tags: Medicare, Medicare Supplement

Coming Soon to a TV Near You: Drug Prices

Posted by www.psmbrokerage.com Admin on Tue, May 21, 2019 @ 11:37 AM

Drug Prices - TV-1


The Centers for Medicare & Medicaid Services (CMS), the agency that oversees the Medicare and Medicaid programs, have put a rule in place that will change the look of television ads for prescription medications. Last week, CMS announced that most drugs that are covered by Medicare or Medicaid must soon include pricing information in their TV ads.
 
The prices ads must include are the so-called “list” prices for the medications. In some ways, the list price for a drug is like the Manufacturer’s Suggested Retail Price, or MSRP, from car ads. Just as with cars, some consumers do pay the list price. If they are uninsured, for example, they may have no choice but to pay the list price. Or if they have a high deductible, they may be paying the list price until their coverage kicks in.

Read the press release about the new rule

Read Medicare Rights’ comments on the proposed rule

Source: https://blog.medicarerights.org/coming-soon-to-a-tv-near-you-drug-prices

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Tags: Medicare, Prescription Drugs

Analysis of the 2019 Medicare Trustees' Report

Posted by www.psmbrokerage.com Admin on Thu, May 16, 2019 @ 11:18 AM

Analysis of the 2019 Medicare Trustees' Report


The Medicare Trustees have released their 2019 report, which makes projections for Medicare spending and revenue for the next 75 years. The Trustees expect Medicare spending to grow significantly over the next few decades. The Hospital Insurance trust fund for Part A is projected to be exhausted in seven years, and continued growth faster than the economy in Parts B and D is expected to put pressure on beneficiaries and the budget.

Highlights of the report include:

  • The Trustees project Medicare spending will increase from 3.7 percent of Gross Domestic Product (GDP) in 2018 to 5.0 percent in 2028 and 5.9 percent by 2040. Spending will continue to increase after that but more slowly, reaching 6.5 percent in 2090.
  • Spending growth is driven by both increased enrollment and per-person spending. Medicare enrollment is expected to grow by 27 million -- from 60 million to 87 million -- between 2018 and 2040, while per capita-spending is expected to grow faster than the economy over the next quarter century.
  • Each part of Medicare will grow: Part B experiences the largest increase as a percent of GDP while Part D is the fastest-growing part of the program.
  • The HI trust fund is expected to be insolvent by 2026 (unchanged from last year). The trust fund's 75-year actuarial shortfall is 0.91 percent of taxable payroll, meaning it would take about that much of a payroll tax increase or an equivalent amount of spending cuts to maintain solvency over 75 years.
  • Overall, the Trustees' report shows modestly higher spending relative to last year's report. Medicare spending will reach 6.5 percent of GDP by 2090 compared to 6.2 percent in last year’s report.
  • Medicare Advantage (MA) - private plans that provide Medicare coverage - is expected to continue to play a growing role in Medicare. MA enrollment is expected to increase from 37 percent of Medicare enrollment in 2018 to 40 percent by 2028, and spending will rise from 31 to 37 percent of Medicare spending.
  • An illustrative alternative scenario assuming certain payment policies the Medicare Chief Actuary views as unsustainable are rolled back would result in Medicare spending rising much faster, to 8.8 percent of GDP by 2090.

The Trustees show Medicare spending is projected to increase significantly as a share of GDP over the next few decades, with each part of Medicare contributing to the cost growth. In addition, lawmakers face a near-term financial challenge as the HI trust fund will be exhausted by 2026, just seven years from now. Lawmakers need to undertake reforms to Medicare to contain spending growth and ensure HI solvency.

Medicare Spending Is Growing Rapidly

As a share of GDP, gross Medicare spending is expected to grow significantly over the long term, especially over the next few decades.

The Trustees project gross Medicare spending will rise from 3.7 percent of GDP in 2018 to 5.0 percent in 2028 and 5.9 percent by 2040. Spending will continue to increase after that but more slowly, reaching 6.5 percent by 2090.

Medicare Part A is largely financed by a payroll tax, and other parts of Medicare are partially financed through beneficiary premiums. Net of these and other funding sources, spending is lower but still expected to grow significantly from 1.6 percent of GDP in 2018 to 2.6 percent in 2028 and 3.3 percent in 2040 before growing more slowly to 3.5 percent by 2090.

fig 1 medicare trustees 2019


The aging of the population is the primary driver of Medicare cost growth, particularly over the next few decades. The number of Medicare beneficiaries has already grown from 40 million in 2000 to 60 million in 2018 and is projected to grow by another 27 million (to 87 million) by 2040.

Per-capita increases in health care spending also play a role in Medicare spending increases, as nominal per-person Medicare spending is expected to increase by 65 percent – from $13,665 to $22,546 – between 2018 and 2028. This increase is larger than the 56 percent growth in the economy that is expected to occur over the same time period.

All Parts of Medicare Are Growing

The Medicare program comprises three main components: Part A covers inpatient care in hospitals and other facilities, Part B covers physician and outpatient care, and Part D covers prescription drugs.

Part A spending is projected to increase from 1.5 percent of GDP in 2018 to 2.2 percent in 2040 before growing more gradually to 2.3 percent by 2090. Part B follows a similar but faster-growing trend, increasing from 1.7 percent of GDP in 2018 to 3.0 percent in 2040 and 3.1 percent by 2090. Part D is the smallest but fastest-growing over the next 75 years, rising from 0.5 percent of GDP in 2018 to 0.8 percent in 2040 and 1.1 percent in 2090.

fig 2 medicare trustees 2019


Part A is financed primarily by a payroll tax paid into the Hospital Insurance (HI) trust fund, while Parts B and D are financed by general revenue contributions and premiums paid by beneficiaries to the Supplementary Medical Insurance (SMI) trust fund. Because of these differences in financing, the implications for growth in Medicare spending differ across trust funds, requiring different metrics to assess their status. Importantly, if the HI trust fund becomes insolvent, payments for benefits in Part A of the program will be reduced to match income. Policymakers would need to act to avoid disruption.

For the SMI trust fund, general revenue contributions and beneficiary premiums are set annually to cover program costs so the trust fund is always solvent by definition. Nevertheless, spending for Parts B and D is expected to grow significantly relative to GDP, putting pressure on the federal budget and on beneficiaries through higher premiums and out-of-pocket costs.

The Hospital Insurance Trust Fund Is Seven Years from Insolvency

The Trustees project the Part A Hospital Insurance (HI) trust fund will be exhausted in 2026, just seven years from now. At that time, spending would have to be reduced by 11 percent to be brought in line with revenue.

fig 3 medicare trustees 2019


The HI trust fund faces a 75-year shortfall equal to 0.91 percent of payroll, meaning it would take a payroll tax increase of about that size or an equivalent spending cut to keep the trust fund solvent. The shortfall is 19 percent of 75-year spending and 23 percent of 75-year revenue.

Both HI spending and revenue are expected to increase over time as a share of payroll, but spending will grow much more rapidly in the next few decades. HI spending will increase from 3.4 percent of payroll in 2018 to 4.2 percent by 2028 and 4.9 percent by 2040 before growing more slowly to 5.3 percent by 2090. Revenue will grow steadily from 3.3 percent in 2018 to 3.6 percent in 2028, 3.8 percent in 2040, and 4.4 percent by 2090.

Part B and D Spending Growth Will Put Pressure on the Budget

The Trustees project that both Parts B and D will grow faster than the economy because of growth in the eligible population and in spending per eligible beneficiary. As pointed out above, these parts are financed by general revenue as necessary, so they can’t become insolvent but their growth has other implications. The Trustees point out that absent changes in law, the growth in spending will require a growing share of federal income tax revenue and premiums and out-of-pocket spending will make up a growing share of beneficiary income.

The Trustees project spending for Parts B and D will increase from 2.1 percent of GDP in 2018 to 3.7 percent by 2040. We estimate this increase in program spending will cause beneficiary out-of-pocket costs to increase from 1 percent of GDP in 2018 to 1.8 percent by 2040.

fig 4 medicare trustees 2019


Medicare’s Outlook is Somewhat Worse than Last Year

This year's Trustees report shows a somewhat more challenging financial outlook for Medicare than last year's. The Hospital Insurance trust fund is still projected to be exhausted in 2026 as it was last year, but the 75-year shortfall has increased slightly, from 0.82 percent of payroll to 0.91 percent. The increase is attributed to higher spending and lower revenue than expected in 2018, lower economy-wide productivity growth (which results in higher payment growth), lower interest rates, and slightly higher private plan participation, partially offset by lower skilled nursing facility utilization.

fig 5 medicare trustees 2019


Medicare spending as a whole is also expected to be higher, particularly over the very long term. Projected spending in the 2019 report is within 0.1 percent of GDP of last year's report through mid-century, then the gap slowly widens to 0.3 percent of GDP (6.5 percent compared to 6.2 percent) in 2090. The Trustees attribute these differences to the aforementioned lower productivity growth -- which is used to reduce payment rates so lower growth results in higher payment growth – and increased growth in physician-administered drug spending. On the other hand, Part D spending is expected to be slightly lower due to higher rebates and slower drug price increases in the near term.

fig 6 medicare trustees 2019


Medicare Advantage Growth Will Continue

Medicare Advantage, the system of private health plans that operates in parallel to "traditional" Medicare, has taken on a greater role in the program over time. Participation increased from 24 percent of total Medicare enrollment in 2009 to 36 percent in 2018 with Medicare Advantage plans receiving more than three-quarters of the net increase in enrollment during that time.

The Trustees expect this trend to continue, though somewhat more slowly. Private plans are expected to receive a majority of the net enrollment increase over the next decade, with private plan enrollment reaching 40 percent of total enrollment in 2028. Per-person spending is expected to increase by three-quarters over the next ten years, from about $11,000 in 2018 to over $19,000 in 2028, slightly faster than the 65 percent growth for overall Medicare per-person costs.

Combining these two trends, total Medicare Advantage spending is expected to increase by 150 percent between 2018 and 2028, from $234 billion to $589 billion, compared to 111 percent for Medicare overall. As a share of total Medicare spending, it will rise from 31 percent to 37 percent. These projections show the Trustees expect Medicare Advantage to continue to play a big and increasing role within Medicare.

fig 7 medicare trustees 2019


Actual Spending Growth Could Be Worse

The Trustees' default projections assume current law, which means no changes are made to how Medicare operates. However, certain payment policies intended to hold down costs may be financially unsustainable and threaten access. Under its default projection, the Trustees expect Medicare inpatient hospital payments to fall from 60 percent of private insurance levels to about 40 percent in 75 years and for physician payments to fall from about 75 percent to 23 percent. Since 2011, the Chief Actuary of Medicare has published an Illustrative Alternative Scenario that assumes some of the policies that result in these low payment levels are rolled back.

The alternative scenario makes different assumptions from current law for three policies: the productivity adjustments that reduce certain payment updates by economy-wide productivity growth, relatively slow payment increases for physicians, and the expiration in 2025 of 5 percent bonuses for physicians who participate in alternate payment models. They assume the productivity adjustments are phased out, physician payments increase more rapidly, and the bonuses continue.

With these assumptions, the HI trust fund shortfall nearly doubles to 1.74 percent of payroll, and Medicare spending rises to 8.8 percent of GDP by 2090 instead of 6.5 percent. Most of the difference in spending emerges over the very long term as the higher payment increases compound over time.

fig 8 medicare trustees 2019


Conclusion

The 2019 Medicare Trustees’ report shows Medicare spending rising rapidly as a share of GDP over the next quarter century and the HI trust fund becoming insolvent by 2026. The illustrative alternative scenario that includes potentially more realistic payment policies shows Medicare spending rising even more substantially over the long term. Either scenario shows a situation where the federal government and Medicare beneficiaries will need to dedicate a growing share of their budgets to Medicare over time.

Lawmakers need to ensure the solvency of HI in the near term and should work at the same time to constrain spending growth in all components of the program. Doing these things will be key to securing our fiscal future.

Source: https://www.crfb.org/papers/analysis-2019-medicare-trustees-report

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Tags: Medicare

Humana Plan Year 2020 Certification and Recertification Details Announced!

Posted by www.psmbrokerage.com Admin on Tue, May 14, 2019 @ 10:04 AM

Humana Certification & Recertification Course Details for Plan Year 2020!

Humana 2020 Certification Info Header


It’s already that time of year to start preparing for AEP 2020 and Humana is here to help. We are excited to announce that we will be launching certification and recertification courses earlier than ever before this year! Both courses will launch at noon Eastern Time on June 25, 2019

Our team listened to your feedback and has made some changes to help improve your experience this year.

Top 4 Improvements:

  1. This will be the earliest cert and recert launch date in Humana MarketPoint history!
  2. Certification Course outlines will be reduced by almost half while maintaining training quality and making it more efficient for you to complete your certification.
  3. Both the certification and recertification final exams are open book, and for PY20 we are making it easier than ever to find the information you need to pass the test.
  4. The time to complete the final exam (both cert and recert) will be extended from 35 minutes to 45 minutes

Certification & Recertification Launch Dates
All PY20 Certification and Recertification courses will launch Tuesday June 25, 2019 at noon EST.*

*NOTE: Does not include Spanish translation.  Spanish versions will be available on a delayed basis. Look for additional communications on Spanish versions.

Recertification Completion Deadlines

  • Internal agents will have until 5:00 PM Eastern time on September 30, 2019 to complete Recertification.
  • External agents will have until 5:00 PM Eastern time on November 30, 2019 to complete Recertification.


Ahip Information

 

Additional Updates:
 

Tags: Humana, Medicare Advantage, Medicare, certification

64% Of Agents Report Increased Medicare Supplement Sales

Posted by www.psmbrokerage.com Admin on Wed, May 08, 2019 @ 08:36 AM

64 Of Agents Report Increased Medicare Supplement Sales

Nearly two-thirds of insurance agents reported increased sales of Medicare supplement insurance in 2018 and a higher percentage expect continued growth in 2019, according to a survey conducted by the American Association for Medicare Supplement Insurance.

"The vast majority of agents (64.1%) experienced increased Medigap sales in 2018 compared to the prior year," reports Jesse Slome, director of the association.

The organization polled 1,000 insurance professionals who market Medicare insurance in advance of the association's national Medicare Supplement industry conference. Over 300 agents completed the survey questions.

Some 64.1 percent of the agents reported increased or higher sales of Medigap insurance in 2018. Just over one-in-four (27.2%) indicated that their sales were about the same as the prior year with only 8.7 percent reporting decreased or lower sales.

The association asked agents to predict their 2019 sales compared to 2018.

"An ever greater majority of agents (68.6%) were more optimistic that their Medigap sales during the year would be higher," Slome said. "The percentage who expect decreased sales dropped to 3.8 percent.

"With 11,000 Americans turning 65 daily, it's no wonder why more agents are focusing on selling Medicare Supplement and Medicare Advantage products," he added. "There is every reason to be optimistic about the future and the continued growth of the industry."

Source: https://insurancenewsnet.com/innarticle/nearly-65-of-agents-report-increased-medicare-supplement-sale

Image: www.Canva.com

Additional Updates:
 

Tags: Medicare Advantage, Medicare, Medicare Supplement

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