- 1,734
"Actions for suspension of enrollment and marketing were levied against: Arcadian Management Services, Health Net, Universal American Corp, MAPFRE PRAICO (a mutual termination), Silverscript Insurance Company, Smart Insurance Company, Orange County Health Authority, Capital Blue Cross, SummaCare, Chinese Community Health Plan, Torchmark Corporation, Cigna-HealthSpring, and Ultimate Health Plans.
Those cited with immediate suspension of enrollment included: Universal Health Care Insurance Company (state specific), Universal Health Care Insurance Company, Florida Healthcare Plus, HealthPlus of Michigan, and Alexian Brothers Community Services.
CMS said it plans to post civil money penalty enforcement actions to its website within the first quarter of the following program audit year. For 2016 program audit violations, violation notices will be posted in the first quarter of 2017 to allow the public and plan sponsors to more easily compare the audit violations, CMS said."
CMS hits Humana with $3.1 million penalty for violations found in audit of Medicare operations | Healthcare Payer News
I don't know what an "action to suspend" means, but haven't heard that, say, SilverScript has actually been suspended. I assume then that there is some action pending for possible suspensions of those carriers.
Those cited with immediate suspension of enrollment included: Universal Health Care Insurance Company (state specific), Universal Health Care Insurance Company, Florida Healthcare Plus, HealthPlus of Michigan, and Alexian Brothers Community Services.
CMS said it plans to post civil money penalty enforcement actions to its website within the first quarter of the following program audit year. For 2016 program audit violations, violation notices will be posted in the first quarter of 2017 to allow the public and plan sponsors to more easily compare the audit violations, CMS said."
CMS hits Humana with $3.1 million penalty for violations found in audit of Medicare operations | Healthcare Payer News
I don't know what an "action to suspend" means, but haven't heard that, say, SilverScript has actually been suspended. I assume then that there is some action pending for possible suspensions of those carriers.