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Jean A. Lentsch

Recent Posts

ADOI going live with new system and new license numbers

Posted by Jean A. Lentsch on 4/20/17 2:57 PM
The Arizona Department of Insurance ("ADOI") is going live with a new back-office software solution, State Based Systems (SBS) The new system is expected to be live on SBS between April 18 and April 21.
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Topics: ADOI, State Based Systems, SBS

Iora Primary Care Now Welcoming Original Medicare (OM) Clients

Posted by Jean A. Lentsch on 4/7/17 3:06 PM

Iora Primary Care is now welcoming Original Medicare (OM) clients. That means your OM clients with or without supplemental plans will be able to experience Iora care before deciding to switch to a Humana Medicare Advantage plan.

Think of Iora if you have …

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Topics: Iora

Aetna Merger Blocked – The Door May Have Closed, but Will They Find a Window?

Posted by Jean A. Lentsch on 1/25/17 5:16 PM

For a long time, there's been talk in the air of major healthcare mergers. The big five - Aetna, Cigna, Humana, Anthem and UnitedHealth - have been boiling down to an even bigger three.

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Phoenix Health Plan/ Tenet Reminders and Current Updates for 2017

Posted by Jean A. Lentsch on 12/28/16 3:10 PM

Phoenix Health Plan’s Medicare Advantage Plan Exit effective 1/1/17

  • PHP and CMS made a “mutual” decision to terminate the plan
  • PHP MAPD members received official plan exit notices on 11/1/2016
  • SNP Letter
  • Non-SNP Letter 
  • PHP MAPD members were encouraged to enroll to new plans by 1/1 during AEP
  • The SEP period is in effect until 1/31/17 for a 2/1/17 effective date
  • All Broker Service calls are being handled at 1-844-320-5281

IN CURRENT NEWS: WellCare to Acquire Medicaid Assets of Phoenix Health Plan in Arizona

On December 22, WellCare Health Plans announced that it would be acquiring some assets, including Medicaid membership and certain provider contracts, from Phoenix Health Plan (PHP).  PHP provides health benefits to more than 50,000 Medicaid beneficiaries in Maricopa County. WellCare will work with PHP and AHCCCS to ensure a smooth transition for members. The transaction is expected to close by the second quarter of 2017.

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Obamacare Signup Deadline Extended to Dec. 19

Posted by Jean A. Lentsch on 12/19/16 10:17 AM

Due to extraordinary demand, the Obama administration has extended the Obamacare signup deadline by four days – from December 15 to midnight on Monday December 19. December 19 is the last day to buy coverage that goes into effect on January 1, The Hill reports.

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Topics: ObamaCare

Senate Clears Medical Cures Bill

Posted by Jean A. Lentsch on 12/8/16 4:55 PM

On Wednesday the Senate cleared a bipartisan bill to advance medical cures, the biggest health care package to pass Congress since ObamaCare, reports The Hill.

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CMS Announces 2017 Premiums and Deductibles

Posted by Jean A. Lentsch on 11/11/16 11:24 AM

WAP Agents – Here is breaking news from CMS on 2017 premiums and deductibles … 

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Topics: Medicare

Social Security Beneficiaries to Receive 0.3% COLA Increase in 2017

Posted by Jean A. Lentsch on 10/18/16 11:45 AM

The government announced today that Social Security recipients and federal retirees will receive a cost-of-living adjustment (COLA) increase of just 0.3 percent in 2017. The increase will take effect on Dec. 30, 2016.

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Topics: COLA increase, social security

Will the Part D Prescription Model Make a Difference in Arizona?

Posted by Jean A. Lentsch on 10/12/16 4:22 PM

Starting in 2017, five states will begin testing a new Part D enhanced medication therapy management model. One of those states is Arizona!

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Topics: Part D prescription model

New Bill Waives Telehealth Restrictions for Medicare Accountable Care Organizations

Posted by Jean A. Lentsch on 10/5/16 8:00 AM

Telehealth has been gaining in popularity with commercial health plans, and it soon may be used with Medicare too. Modern Healthcare reports that a new bi-partisan bill aims to tweak rules coverage Medicare Accountable Care organizations. One of the more notable provisions is a waiver on telehealth restrictions. This is a change sought by the American Medical Group Association and others.

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Topics: telehealth in Medicare

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