December 2019

Our e-newsletter for Enterprise Risk Management, Claim Settlement and Healthcare Solutions.

Best Wishes to All For A Very Happy Holiday Season, and a Bright and Prosperous New Year! On behalf of our clients, partners and associates, we support Bethany House which serves the needs of homeless women and children in Rochester, NY.

Medicare Advantage Premiums At 13 Year Low.

Recently Medicare announced that Medicare Advantage monthly premiums are projected to be at their lowest point in 13 years. “Medicare Advantage premiums in 2020 are expected to decline 23 percent from 2018 while plan choices, benefits and enrollment continue to increase”, Medicare said. Read more >>

More Risk, Claim and Healthcare News …
Medicare to Hold Recovery Thresholds the Same for 2020. Beginning January 1, 2020, the threshold for physical trauma-based liability insurance settlements will remain at $750. CMS will maintain the $750 threshold for no-fault insurance and workers’ compensation settlements, where the no-fault insurer or workers’ compensation entity does not otherwise have ongoing responsibly for medicals. View article…

Whistleblower Alleges Seattle's Largest Medicare Advantage Plan of Fraud. Group Health Cooperative in Seattle, one of the United States' oldest and most respected nonprofit health insurance plans, is accused of defrauding Medicare out of millions of dollars in a federal whistleblower case. View article...

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