Payer Power

The Centers for Medicare and Medicaid Services (CMS) reduces premiums by an average of $7,200 a year for plan members who have other primary coverage. But of the CMS data that HMS has investigated, 35% to 40% is inaccurate. As a result, a Medicare Advantage plan with 50,000 members will forfeit about $3.2 million in premiums a year—for no reason. Find out how Medicare Advantage plans can keep that money on their own or with help from a vendor by listening to HMS’s podcast, “Calling All Medicare Advantage Plans: Protect Your Premiums.”