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I'm sure that it's not possible for them to expand, so I think that the opposite would also be true? Healthspring plans SUCK in my market. I'm wondering if they'll just give up the struggle here, and IF THEY ARE ALLOWED TO DO SO?
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I'm sure that it's not possible for them to expand, so I think that the opposite would also be true? Healthspring plans SUCK in my market. I'm wondering if they'll just give up the struggle here, and IF THEY ARE ALLOWED TO DO SO?
They have an annual contract with CMS so they can't decide to drop coverage in middle of the year.The DOI and CMS can shut them down however.
Untrue. Look at Crestpoint Health out of TN that ceased operation mid-year. They chose to close down; not forced to do so.
Now getting back to the original question about whether or not a company under sanctions could shut down -- I would think so; CMS might even be relieved.
Is true.They can not violate their MA contract and just shut down because they feel like without consequences. CMS had to approve this and it looks like one of the reasons they did is because CMS and CrestPoint had already had made arrangements to to migrate membership to BCBS of Tenn.
And back to original question: see above statements .
I love me some google:
MSHA: CrestPoint Health insurance plan to cease operations | WJHL
"Mountain States Health Alliance confirmed Wednesday it will shut down CrestPoint Health, the company’s health insurance company operated by its subsidiary Integrated Solutions Health Network.
The change will impact MSHA’s thousands of employees and an unknown number of people who chose CrestPoint Health as their Medicare Advantage coverage.
This week, letters are being sent to CrestPoint Medicare Advantage members notifying them of our mutual decision with the U.S. Centers for Medicare and Medicaid Services (CMS) to cease operations of CrestPoint,” MSHA CEO Alan Levine wrote in a letter to employees. “The termination of the CrestPoint Medicare Advantage Plan will be effective June 1"
I never said a plan didn't need CMS' permission to shut down, just that they could mid-year. And now you're just making things up -- "without consequences?" Show me a source for the consequences being faced by Crestpoint.