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* Skip to main content DistilINFO Healthplan Your go-to source for US Healthplan Industry Updates. * Publications * Home * DistilINFO Healthplan * DistilINFO Hospital IT * DistilINFO IT * DistilINFO Retail * DistilINFO Aging * DistilINFO Life Sciences * DistilINFO HealthIndia * DistilINFO EHS * DistilINFO GovHealth * Distil AI * Distil POPHealth * Submit Article * Advertise * Subscribe * Newsletters * RECENT UPDATES ON MEDICARE ADVANTAGE: 7 KEY DEVELOPMENTS Share: June 19, 2023 > Recent updates on Medicare Advantage include the New York City Mayor > overriding attempts to block Aetna’s contract, proposals to curb misleading > marketing, Aetna seeking intervention in a retirees’ lawsuit, research > suggesting higher overpayments than previously estimated, Keystone Health Plan > East receiving $11.3 million in overpayments, audits finding $32 million in > overpayments across six plans, and a study showing the benefits of in-home > health visits for Medicare Advantage patients. Medicare Advantage has been making headlines lately with several noteworthy updates. Here are seven important updates reported by Becker since June 8. 1. New York City Mayor Overrides Comptroller’s Attempt to Block Aetna Contract: Mayor Eric Adams has overridden City Comptroller Brad Lander’s attempt to halt the implementation of a contract between New York City and Aetna. The contract aims to administer a Medicare Advantage plan for 250,000 retired city employees, despite an ongoing lawsuit challenging the plan. 2. Alliance of Community Health Plans Proposes Policies Against Misleading Marketing: The Alliance of Community Health Plans has put forth a series of policy proposals to combat misleading marketing practices in Medicare Advantage. 3. Aetna Seeks Intervention in Retirees’ Lawsuit: Aetna is seeking to intervene in a lawsuit filed by retired New York City employees who are trying to block the implementation of Aetna’s Medicare Advantage contract with the city. In its petition, Aetna refutes the retirees’ allegations and denies that their Medicare Advantage plan would lead to coverage denials, higher costs, or more restricted networks. 4. New Research Highlights Potential Medicare Advantage Overpayments: Researchers from the University of Southern California in Los Angeles have published a whitepaper indicating that Medicare Advantage plans enrollees have lower expenses compared to similar risk score individuals in traditional Medicare. However, payments to the program are based on traditional Medicare, suggesting that overpayments in Medicare Advantage could be more significant than previously estimated. 5. Keystone Health Plan East Overpaid by $11.3 Million: An audit conducted by the Office of Inspector General (OIG) revealed that Independence Blue Cross’ Keystone Health Plan East received an estimated $11.3 million in overpayments for the years 2016 and 2017. 6.OIG Reports $32 Million in Overpayments Across Six Medicare Advantage Plans: According to the OIG’s semiannual report to Congress, audits conducted in the past six months discovered approximately $32 million in overpayments across six different Medicare Advantage plans. 7. Study Shows Benefits of Optum HouseCalls Program for Medicare Advantage Patients: A study conducted by researchers from Yale Medicine and Optum reveals that Medicare Advantage patients who receive in-home health visits through the Optum HouseCalls program spend less time in emergency rooms and inpatient hospital settings. These recent updates shed light on various aspects of Medicare Advantage, including legal battles, overpayments, marketing concerns, and positive outcomes for patients. DISTILINFO HEALTHPLAN MONTHLY INTELLIGENCE REPORT Find out what 100,000 subscribers are interested in... FEBRUARY 2022 JANUARY 2022 DECEMBER 2021 NOVEMBER 2021 OCTOBER 2021 SEPTEMBER 2021 AUGUST 2021 JULY 2021 JUNE 2021 MAY 2021 APR 2021 MAR 2021 FEB 2021 JAN 2021 DEC 2020 NOV 2020 OCT 2020 SEPT 2020 DOWNLOAD MONTHLY INTELLIGENCE REPORT First Name Last Name Email Address Title Level Others DISTILNFO HEALTHPLAN COFFEE WITH DISTILINFO'S MORNING UPDATES... Sign up for DistilINFO e-Newsletters. SUBSCRIBE SUBSCRIBE WITH LINKEDIN SUBSCRIBE TO DISTILINFO PUBLICATIONS First Name Last Name Email Address Company Job Title Title Level — Please Choose — President Vice President Director Manager C-Level Staff Others PROCEED CHOOSE LISTS DISTILNFO HEALTHPLAN DISTILNFO HOSPITALIT DISTILNFO RETAIL DISTILNFO IT DISTILNFO AGING DISTILNFO EHS DISTILNFO GOVHEALTH DISTILNFO HEALTH INDIA DISTILNFO LIFESCIENCES DIGITAL CIO DISTILNFO LIFESCIENCES M&A DISTILNFO POPHEALTH BACK TRENDING THIS WEEK * 5 Rebranding Initiatives by Payers * AHN and Cigna Face Uncertainty as Deadline Looms for Contract Renewal Agreement * North Carolina Takes Action on Friday Health Plans as Company Faces Insolvency * Clover Health Resolves Lawsuits Alleging Concealment of Federal Probe from Investors * CMS Aims to Expedite Medicare Coverage with Voluntary Pathway for New Medical Devices * AWS Unveils New Generative AI Center with $100M Investment * Emory Healthcare and DispatchHealth Collaborate to Provide In-Home Care * Top 10 Aetna Updates in the First Half of 2023 * Digital Heath Delivers Betters Results Than In-Person Care For Serious Diabetes Publications DistilINFO Life Sciences DistilINFO HealthIndia DistilINFO EHS DistilINFO GovHealth Distil AI Distil POPHealth DistilINFO Healthplan DistilINFO Hospital IT DistilINFO IT DistilINFO Retail DistilINFO Aging DistilINFO Life Sciences DistilINFO HealthIndia DistilINFO EHS DistilINFO GovHealth Distil AI Distil POPHealth DistilINFO Healthplan DistilINFO Hospital IT DistilINFO IT DistilINFO Retail DistilINFO Aging DistilINFO Life Sciences ‹› ABOUT US DistilINFO is media company that publishes Industry news, views and Interviews. 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