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CMS Wants to Set Payment Amounts for Medicare Advantage Employer, Union Plans
Healthcare Payer News Link to more items from this source
[Guidance Overview]
Feb. 26, 2016
"[CMS] has proposed, in its new Medicare Advantage rate notice, to waive the bidding requirement for employers and union groups that offer retirement plans to their employees. CMS instead wants to establish set payment amounts, indicating the bid process lacks competition, and therefore, price incentives. Medicare Advantage plans that exclusively serve employer and union groups do not compete in the open market, but are offered through negotiated arrangements, CMS said."

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