Medicare Advantage Communications, Marketing and Training Rules 

This is a technical page, that will cross most anyone’s eyes.

  • Medicare Communications & Marketing Guidelines:
  • Marketing Website:
  • PFFS Addendum: Model Language for Sales Presentation

2015 Medicare Advantage Capitation Rates Payment Policies

CMS imposes record number of fines 1st quarter 2015  Modern Health Care


Public Events Secret Shopping Tool CY 2014

Blue Cross Do’s & Don‘ts

Consumer Links

Technical & Research Links

Medicare Modernization Act Wikipedia

Social Security & Medicare ONLINE Enrollment and Benefit Calculator

Guidance for Eligibility, Enrollment and Disenrollment procedures for Medicare Advantage (MA) plans, including MA-PD plans, is provided in Chapter 2 of the Medicare Managed Care Manual.

Congressional Budget Office on how Medicare Advantage Plans Work

Medicare Marketing Website

Medicare Marketing Guidelines


The Medicare Improvements for Patients and Providers Act (MIPPA)   

Summary    Public Law No: 110-275 Text – 105 Pages


42 CFR Part 422, Subpart V – Medicare Advantage Marketing Requirements

Capitalist – Not Communist

G-d Father Emilio Barzini: [during a meeting with the Five Families] Times have changed. It’s not like the Old Days, when we can do anything we want. A refusal is not the act of a friend. If Don Corleone had all the judges, and the politicians in New York, then he must share them, or let us others use them. He must let us draw the water from the well. Certainly he can present a bill for such services; after all… we are not Communists.

War Dogs Movie Trailer –
I feel that CMS wants to put agents in jail for the smallest infraction…

AEY’s plans ran into trouble in April, 2007, when they discovered that the 7.62 mm ammunition they had planned to buy from the Albanian Ministry of Defense was actually manufactured in Communist China. Following the Tien An Minh Square massacre, the United States Government had enacted an arms embargo that precluded purchases of ammunition made by any entity that was part of Communist China’s military establishment.

A clause noting this prohibition and precluding supplying the contract with Chinese-made ammunition was included prominently

[The AHIP and Insurance Company Training we get – IMHO is defective – It doesn’t reference the actual law or CMS Rule!]  in the Army’s contract with AEY.   Justice.Gov

I’d have to re review everything.  There may have been some improvement

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