Medicare Advantage enrollment as a share of overall Medicare enrollment continued to rise in 2022, but payment inequity calls for serious reforms, according to a presentation from MedPAC.
The Medicare...
Medicare Advantage plans have seen better patient outcomes in chronic disease management for diabetes than fee-for-service Medicare, according to a study by Avalere.
“Medicare Advantage is...
Blue Cross Blue Shield of Michigan (BCBSM) is helping advance the shift to value-based care by initiating full-risk reimbursement arrangements with six provider organizations.
The agreements are for...
Medicare Advantage marketing practices have drawn criticism from stakeholders and regulatory changes from policymakers, but tracking the results of these policies is difficult, researchers from the...
More than 150 million people receive health insurance through public programs, including Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP), according to the latest enrollment...
In its analysis of Cigna-HealthSpring of Tennessee’s risk adjustment program payments, the Office of Inspector General (OIG) found that 195 of the 279 unique enrollee-years did not have medical...
The share of beneficiaries who switched from traditional Medicare to Medicare Advantage in 2020 exceeded the switching rate from Medicare Advantage to traditional Medicare, contributing to Medicare...
Health insurers and employers face a challenging landscape in 2023, but these obstacles are accompanied by opportunities for growth, according to experts’ top predictions.
Three years after the first wave of the coronavirus pandemic...
Over the phone, a Spanish-speaking senior explains to an Anhelo Salud (Anhelo) representative her recent history with Medicare.
During the conversation, the representative realizes that different health plans have enrolled the senior in a...
The dual eligible market is changing, creating new challenges and opportunities that health plans should take into account when considering entering the market, experts from Manatt Health found in a...
Better Medicare Alliance (BMA) has called on CMS to improve the Medicare Advantage program by auditing all health plans annually, creating best practices for in-home health risk assessments, and...
SCAN Health Plan is expanding its California Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP) into San Diego County for 2023, increasing access to the state’s only FIDE-SNP.
SCAN...
More Medicare Advantage plans are offering supplemental benefits in 2023, including in-home support services and home-based palliative care, according to a report commissioned by Better Medicare...
Medicare Advantage premiums rose to $7 per month on average for 2023 open enrollment season, an eHealth survey uncovered.
For the past four years, Medicare Advantage plan premium costs have been...
Medicare Advantage beneficiaries will have more health plan options available to them now than they have at any point in over a decade, according to data from the Kaiser Family Foundation....
After receiving evidence of deceptive marketing practices by Medicare Advantage plans, the Senate Finance Committee has offered recommendations to CMS for reducing marketing complaints and preventing...
Nearly 80 percent of metropolitan statistical areas (MSAs) had highly concentrated Medicare Advantage markets, highlighting the lack of competition in the commercial health insurance market.
The...
Medicare Advantage plans may better equipped to provide behavioral healthcare services to Medicare beneficiaries than fee-for-service Medicare, a Better Medicare Alliance report found.
The research...
During 2020 Medicare open enrollment which took place in 2019, less than a third of Medicare beneficiaries compared their health plans with other available Medicare plans, according to an issue brief...
Cigna has formed a value-based care partnership with an in-home primary care organization in order to improve quality of care and access to care for Medicare Advantage member, the partners...
