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Wednesday, April 2, 2014

NEW MEDICARE ADVANTAGE NETWORK TERMINATION RULES PROPOSED

Spurred by legal action involving TMA and the subsequent media coverage, CMS released new Medicare Advantage rules that would safeguard patients when health plans significantly reduce their physician networks. The proposed rules follow UnitedHealthcare’s termination of thousands of Texas physicians from its Medicare Advantage plans last fall. The rules would require Medicare Advantage organizations to give physicians and providers at least 60 days’ notice of a contract termination and beneficiaries at least 30 days’ notice of network changes. The rules could be finalized as early as April 7.

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