Tufts Health Plan Medicare Preferred

Posted by:  :  Category: Medicare

In 2017, our HMO plans earned 5 out of a possible 5 Stars by the Center for Medicare and Medicaid Services. This rating combines the scores our plans received for the various medical and/or prescription drug services our plans offer.
Source: tuftsmedicarepreferred.org

HealthCare Administrative Solution

Participating organizations include Blue Cross Blue Shield of Massachusetts, Boston Medical Center HealthNet Plan, CeltiCare Health, Fallon Health, Harvard Pilgrim Health Care, Health New England, Medical Network, Neighborhood Health Plan, New Hampshire Healthy Families, Tufts Health Plan and Tufts Health Public Plans. A board of directors governs HCAS and the organization is managed and operated by an Executive Director.
Source: hcasma.org

Tufts Health Plan Foundation

“The momentum is building around age-friendly communities, and we are excited to partner with state and local leaders in their work to consider and include older adults,” said Nora Moreno Cargie, vice president, corporate citizenship for Tufts Health Plan and president of its Foundation. “We are proud collaborators on initiatives that promote cross-sector conversations, address challenges and inequities facing communities, and advance policies and practices that support people of all ages.”
Source: tuftshealthplanfoundation.org

HealthCare Administrative Solution

NOTE: In the Final Rule published in the Federal Register on April 15, 2010, CMS clarified that providers “who have met the fraud, waste, and abuse certification requirements through enrollment into the Medicare program or accreditation as a Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) are deemed to have met the training and educational requirements for fraud, waste, and abuse.”
Source: hcasma.org

New Hampshire Insurance Department

Special Fraud Alert from the Office of Inspector General (OIG) The OIG has received credible information that some Durable Medical Equipment (DME) suppliers continue to use independent marketing firms to make unsolicited telephone calls to Medicare beneficiaries marketing Durable Medical Equipment.  Section 1834(a)(17)(A) of the Social Security Act prohibits unsolicited telemarketing by Durable Medical Equipment Suppliers.  Please contact the OIG, US Department of Health and Human Services at 617-565-2664 if you have any information about DME suppliers engaging in these activities. 
Source: nh.gov

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