Really small. Rumor has it that your mother went too.Man, it really is a small world.
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Really small. Rumor has it that your mother went too.Man, it really is a small world.
I don't care what side of the fence you're on. That shit's funny.Really small. Rumor has it that your mother went too.
Integrity . But it’s not up to integrity wether they’re concerned with it . Carriers will get clarification from cms and what cms says all this means carriers must abide by it . It’s still cms’s call for what carriers can and can’t do .
Just seems like you are more worried about their money then they are
Really small. Rumor has it that your mother went too.
most agents probably are unaware of this
I'll try to reply to the other specific questions later.
So will CMS ever clarify these new rules? Or are we left to just try and figure it out ourselves?
I still don't have a dog in this fight, but my cursory reading of the topic SEEMS to be an attempt to limit actions by the (pick your acronym) IMO, FMO, TPMO, etc organizations and allow CMS to have more direct control over the actions of the "upline".
If a carrier or agent violates rules they can be sanctioned, fined, imprisoned, stoned on the town square . . . whatever.
But it SEEMS that some of the upline intermediaries are mostly able to operate with impunity. If the goal of CMS is to restrict or eliminate the intermediaries the new rules could well have an impact on those organizations including things like the Broadway Joe ads.
If the middleman is choked out the only players left may be the carrier and the agents . . . both of whom are subject to direct oversight by CMS.
My contracts are (almost all) direct with carriers, so my relationships won't be disrupted by new rules.
I wonder how @Newby and @Todd King feel and would like to see their input on this post.
This next song goes out to all the BFD's in the room . . .
But you do get paid for HRA's, right?
My understanding is that HRA's boost revenue for MA carriers. Is that correct?
If the HRA is never (or rarely) verified it certainly seems possible that carriers could collect additional taxpayer money for incorrect, falsified or embellished HRA's.
That certainly seems a logical conclusion. More HRA'a, more money for the carrier. What's not to love?
Feel free to jump in at any time with data.
I am willing to back off, just need some tangible evidence.
Perhaps you are right. Data? You don't seem like the type to BS their way through a discussion the way some of the agents do. When asked for supporting data they suddenly remember a tee time.
Aren't agents paid extra to complete an HRA? Seems like an incentive to me.
Risk assessment and risk adjustment are valuable tools
that are used for a variety of purposes in health care and
health insurance systems. They are used to adjust premium
payments to health insurance plans so that plans are not
over- or under-paid relative to the health of their enrollees.
How many times does CMS challenge the HRA?
Is this just a rubber stamp operation? Seems like it.