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Announcement on New Medical Loss Ratio Regulations

New regulations issued today by the Department of Health and Human Services (HHS) require health insurers to spend 80 to 85 percent of consumers' premiums on direct care for patients and efforts to improve care quality. This regulation, known as the "medical loss ratio" provision of the Affordable Care Act, will make the insurance marketplace more transparent and make it easier for consumers to purchase plans that provide better value for their money.

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Vt. Digger: "Vermont selected for federal health care project"

Vermont is one of eight states that has just been chosen to participate in a new federal health care demonstration project.

The Centers of Medicare and Medicaid Services has established an "innovation center," designed to encourage states to develop new ways of delivering and paying for health care under the Affordable Care Act just passed this year.

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Vermont Picked for Project to Improve Patient Care

Vermont was one of eight states selected today by the federal government for a Medicare demonstration project to improve health care by basing payments to doctors and hospitals on the quality of patient care instead of the quantity of care, the state's congressional delegation announced.

Sen. Patrick Leahy (D-Vt.) said, "Vermont's selection ensures that our state will continue to lead in finding the best ways to reduce costs ... Read More


Medicare Announces Quality Bonus Payment Demonstration For Medicare Health Plans

The Centers for Medicare & Medicaid Services (CMS) made three significant announcements today: (1) updated star plan ratings for 2011 Medicare health and drug plans, (2) a 3-year demonstration to provide Medicare Advantage plans financial incentives to provide high-quality care, and (3) proposed regulations to implement several provisions of the Affordable Care Act to strengthen and improve the Medicare Advantage and Medicare prescription drug programs.

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CMS Announces 2011 Part D and Medicare Advantage Plan Options

The Centers for Medicare & Medicaid Services (CMS) announced today that, on average, premiums for Medicare Advantage plans will decrease by 1 percent in 2011, while benefits will remain substantially similar from 2010 to 2011. Enrollment in Medicare Advantage plans is projected to rise 5 percent in 2011, according to plan bids. Access to a Medicare Advantage plan remains strong, with 99.7 percent of beneficiaries having access to a Medicare Advantage plan fo... Read More


 
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