Medicare Advantage

Medicare Advantage Contract Terminations Worsen Racial Health Disparities

by Victoria Bailey

Medicare Advantage contract terminations may exacerbate racial health disparities, as contracts that were terminated between 2011 and 2020 served higher rates of Black beneficiaries, a study published...

Humana Expands 2023 Medicare Advantage Dental Benefits in Florida

by Victoria Bailey

Humana is expanding 2023 dental benefits under its Medicare Advantage plans in Florida and will offer members access to a more extensive provider network and higher annual...

Older Beneficiaries Choose Medicare Advantage for Enhanced Benefits

by Victoria Bailey

As Medicare Advantage enrollment is expected to rise in the coming years, a new survey from the Commonwealth Fund revealed that beneficiaries are choosing the private program over traditional Medicare...

SCAN Health Plan Starts a Medicare Advantage Health Plan for LGBTQ+ Seniors

by Kelsey Waddill

SCAN Health Plan launched a Medicare Advantage plan for older adults who identify as being part of the LGBTQ+ community. The payer is working with a digital health platform that pursues integrated...

BCBS Health Plan Expands Medicare Advantage Drug, Mental Health Benefits

by Kelsey Waddill

Blue Cross Blue Shield of Massachusetts (Blue Cross) introduced prescription drug benefits and mental healthcare benefits to its preferred provider organization (PPO) and health maintenance...

Healthcare Utilization Lower for MA Beneficiaries with Complex Care Needs

by Victoria Bailey

Among Medicare beneficiaries with complex care needs, those enrolled in Medicare Advantage had lower acute healthcare utilization than traditional Medicare beneficiaries, including lower rates of...

MA, Part D Contracts See Lower 2023 Medicare Advantage Star Ratings

by Victoria Bailey

The average star ratings for Medicare Advantage plans with prescription drug coverage and Part D plans were 4.15 and 3.25, which marked decreases from last year, the 2023 Medicare Advantage Star...

SDOH, Nonmedical Supplemental Benefits Lacking for MA Dual Eligibles

by Victoria Bailey

Medicare Advantage plans that exclusively serve dual eligible beneficiaries offered more social determinants of health (SDOH) and nonmedical supplemental benefits than general Medicare Advantage plans,...

Alignment Health Expands Medicare Advantage Offerings for 2023

by Victoria Bailey

Alignment Health has expanded its Medicare Advantage offerings for 2023, increasing access to care for seniors through new zero-dollar premium plans, special needs plans, and tailored benefits. The...

Health Plan Shares Insurance Definitions to Boost Member Health Literacy

by Kelsey Waddill

In honor of National Health Literacy Month, Sunflower Health Plan shared the definitions to some basic health insurance terms with its members to improve member health literacy. During National Health...

4 Payers Share 2023 Medicare Open Enrollment Benefits, Inflation Drives Updates

by Kelsey Waddill

For the 2023 Medicare open enrollment period, payers are introducing new benefits and expanding old ones with the aim of lowering costs and reducing healthcare’s complexity. One of the major...

Problems with Medicare Advantage Payment System Contribute to Overpayment

by Kelsey Waddill

The Medicare Advantage program has serious structural problems that lead to overpayment and policymakers must take action on MedPAC’s recommendations in order to create a more cost-effective...

How Do Medicare Advantage Plans Compare to Traditional Medicare?

by Victoria Bailey

Medicare Advantage and traditional Medicare beneficiaries reported similar satisfaction rates, but access to care, affordability, and healthcare utilization differed among the two populations,...

Medicare Advantage Boasts Fewer Low-Value Care Services Than FFS Medicare

by Kelsey Waddill

Low-value care services were less common for Medicare Advantage (MA) beneficiaries—particularly those in health maintenance organizations (HMOs)—than for traditional Medicare (TM)...

Middle-Income Seniors Will Struggle to Afford Paid Caregiving in 2033

by Kelsey Waddill

Middle-income seniors will have restricted options for assisted living in 2033 due to financial strain, a study conducted by NORC and funded by SCAN Health Plan found. The researchers relied on the...

Medicare Advantage Plan Quality Varies by Premium Cost

by Victoria Bailey

Premium costs may not always be representative of Medicare Advantage plan quality, as high-quality plans were found at every premium level, a study published in JAMA Health Forum found. Healthcare...

Top 3 Social Determinants of Health Barriers Among Seniors

by Kelsey Waddill

Three major social determinants of health factors are particularly predominant barriers to care for America’s seniors: economic instability, loneliness, and food insecurity, according to a study...

48% of Medicare Beneficiaries are Enrolled in Medicare Advantage Plans

by Victoria Bailey

Medicare Advantage enrollment has continued to grow in 2022, with almost half of eligible Medicare beneficiaries enrolled in a Medicare Advantage plan, according to an analysis from the Kaiser Family...

Large Dialysis Facilities Bumped Prices for Major Medicare Advantage Plans

by Kelsey Waddill

Major Medicare Advantage plans paid a 27 percent higher cost for the median in-network outpatient dialysis treatment between 2016 and 2017, according to an article published in Health Affairs. The...

Senator Looks Into Deceptive Marketing by Medicare Advantage Plans

by Victoria Bailey

Senate Finance Committee Chair Ron Wyden (D-Ore.) has inquired about potentially deceptive marketing practices by Medicare Advantage plans that exploit seniors and people with...