tci Medicare Compliance & Reimbursement - 2005 Issue 2

HEALTH PLANS: New Region Regs Create Winners And Losers, Depending On Location

But the real test will come when CMS releases payment information next month. Health plans in California, Florida and New Jersey are thrilled, but those in Massachusetts, Illinois and Oregon are grumbling.The Centers for Medicare & Medicaid Services made its long-awaited announcement on the region sizes for Medicare Advantage PPOs, and for health plans, the news was either good or bad depending on what state they're in. Both America's Health Insurance Plans andthe Blue Cross Blue Shield Association of America had asked that CMS designate 50 regions - one for each state - but CMS instead has designated...

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