More pressure on Part D plans

Greater emphasis on quality might lead to the dropping of some Medicare Advantage drug plans from the program. The Centers for Medicare & Medicaid Services changed the way it evaluated Part D plans last month, and 28 percent of drug plans that will be available to Medicare enrollees in 2012 get fewer than three stars out of a possible five (for excellent). There are about 1,500 stand-alone Part D plans in the country. CMS notified the low performers that unless there is improvement, they could find themselves shut out of the program, thanks to a new rule that allows the agency to expel drug plans with three or fewer stars for three consecutive years.

Percentage of Part D plans with fewer than three stars, by state

Source: Centers for Medicare & Medicaid Services

Career Opportunities

HAP, a subsidiary of Henry Ford Health System, is a nonprofit health plan providing coverage to individuals, companies and organizations. This executive develops strategies to meet membership and revenue targets through products, pricing, market segmentation and advertising.  Aligns business among Business Development, Commercial Sales, Medicare and Public Sector Programs and Product Development. Seeks to enhance and be responsible for business development and expansion through the development of an effective product portfolio, strong interpersonal relationships and service excellence.

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