The plaintiffs are seeking a trial by jury. #NewsismyBusiness
Humana Insurance of Puerto Rico Inc. and Humana Health Plans of Puerto Rico Inc. have struggled with increasing losses, particularly in their Medicare Advantage segment. #NewsismyBusiness
MCS Classicare is now the largest five-star Medicare Advantage plan in the United States and Puerto Rico. #NewsismyBusiness
The plan’s already 4.5-star designation was upgraded to because of CMS’s recent recalculation of its 2024 Medicare Advantage plan ratings. #NewsismyBusiness
MCS exceeded growth expectations during the recently ended annual enrollment period as its commercial health plans also added a significant number of new beneficiaries for 2024. #NewsismyBusiness
The Puerto Rico Treasury Department has ruled that the cash benefit available in certain products to Medicare Advantage plan members is not considered income and, therefore, does not affect the member’s eligibility for other programs and services based on income. “We’re very pleased that the Treasury Department expressed and confirmed through a ruling that the […]
Triple-S Management Corp. announced that its Triple-S Advantage 2020 Care Coordination Medicare Advantage HMO contract (H5774) will remain among Medicare Advantage plans with at least a 4-star rating — out of a maximum rating of 5 stars from the Centers for Medicare and Medicaid Services — for a fourth consecutive year. “Only one-in-three Medicare Advantage […]
The Medicaid and Medicare Advantage Products Association of Puerto Rico (MMAPA) has turned to the federal court to challenge Law 90, which establishes fees for the payment of services under Medicare Advantage plans, claiming the bill jeopardizes benefits for thousands of insureds, and encroaches on federal law by trying to regulate MA funds or their […]
Triple-S Advantage announced that effective Nov. 1, 2018, it will increase its rates for services by specialty physicians within the Triple-S Advantage provider network by applying the Medicare Fee Schedule 2018.
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NIMB ON SOCIAL MEDIA