How HMS Found Nearly $650,000 in Medicare Premiums for a 45,000-Member Plan – in One Month

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THE PROBLEM Like other Medicare Advantage plans, an HMS commercial client in the Northeast with 45,000 members receives other health insurance information from the Centers for Medicare and Medicaid Services (CMS). Typically, CMS claims 3% of Medicare Advantage members have other coverage, and plans must validate coverage or risk losing premiums for those members. Unfortunately, about 30% of CMS’s information is inaccurate due to a variety of

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How HMS Found Nearly $650,000 in Medicare Premiums for a 45,000-Member Plan – in One Month

How HMS Found Nearly $650,000 in Medicare Premiums for a 45,000-Member Plan – in One Month

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