Medicare Spending

MedPAC Releases Medicare Advantage Recommendations, BMA Reacts

by Kelsey Waddill

MedPAC’s March 2022 recommendations to Congress for Medicare Advantage payment policies have roused reactions from payers, specifically Better Medicare Alliance. At the beginning of the report...

How 2020 Healthcare Spending Trend Fits Within Decades of Growth

by Kelsey Waddill

While the nation’s overall healthcare spending trend has been gradually increasing starting in 1970, the US experienced a particularly steep healthcare spending incline in 2020 of nearly 10...

National Healthcare Spending, Prices Saw Modest Increase in 2021

by Victoria Bailey

National healthcare spending increased by 3.4 percent in 2021, while the Health Care Price Index (HCPI) maintained a year-over-year growth of around 2 percent, according to Altarum’s February...

COVID-19 Federal Spending Drove National 2020 Healthcare Spending

by Victoria Bailey

National healthcare spending increased by nearly 10 percent in 2020 to $4.1 trillion, largely due to the spike in federal spending in response to the COVID-19 pandemic, according to a Health Affairs...

BMA: Medicare Advantage Offers Lower Costs, Better Benefits Than FFS

by Victoria Bailey

Medicare Advantage plans offer members additional benefits and require less spending from the federal government compared to fee-for-service (FFS) Medicare, according to a report commissioned by Better...

Expanding Covered Medicare Benefits May Lower Out-of-Pocket Costs

by Victoria Bailey

Policymakers are looking to include dental, hearing, and vision benefits to Medicare as a part of the budget reconciliation bill, which could benefit many Medicare beneficiaries who go without this...

BMA Asks Congress to Secure Medicare Advantage Benefits in Reform Bill

by Victoria Bailey

Better Medicare Alliance has commended Congress for including additional benefits in its proposed Budget Reconciliation plan for Medicare reform and is urging lawmakers to maintain the structure that...

Medicare Advantage Healthcare Spending Exceeds Original Medicare

by Kelsey Waddill

Escalations in Medicare Advantage healthcare spending—along with higher traditional Medicare spending—could drive scarcity in the Medicare hospital insurance trust fund and could boost...

Medicaid Programs Call for Medicare Coverage of Alzheimer’s Drug

by Kelsey Waddill

The National Association of Medicaid Directors (NAMD) is recommending that CMS approve Medicare coverage for Alzheimer’s disease therapies. “The outcome of Medicare’s coverage...

Medicare Coverage Determination for Alzheimer’s Drug Is Underway

by Victoria Bailey

CMS has started a national coverage determination analysis and will establish Medicare coverage policies for the new Alzheimer’s drug, aducanumab. Aducanumab is a monoclonal antibody that...

Rare Disease Healthcare Spending Tops Costly Chronic Diseases

by Kelsey Waddill

While payers have been focusing justifiably on diminishing healthcare spending for chronic conditions, rare disease healthcare spending may exceed chronic disease healthcare spending, according to the...

COVID-19 Lowered Medicare Care Utilization Across Races, Services

by Kelsey Waddill

In the first six months of 2020, fee-for-service Medicare utilization dropped across categories of services, races, and dual eligibility statuses, a recent Avalere study confirmed. Avalere researchers...

Multiple Chronic Conditions, Race Impact Diabetes Medicare Spending

by Kelsey Waddill

Medicare spending on diabetes is in part a result of whether or not the beneficiary has multiple chronic conditions, but there are other factors that strongly influence costs as well, researchers found...

Health Literacy Improves Medicare Spending, Member Outcomes

by Kelsey Waddill

Health literacy is key to improving member health outcomes, particularly among Medicare beneficiaries, a UnitedHealth Group research report emphasized. “Health literacy represents the ability of...

Medicare Advantage HMOs Remain Popular in 2021 Open Enrollment

by Kelsey Waddill

Medicare Advantage, specifically the Medicare Advantage health maintenance organization (HMO) option, is projected to be the most popular choice once again during open enrollment, according to...

COVID-19 Projected to Drive Increased Costs for Consumers, Employers

by Kyle Murphy, PhD

A new report warns of rising premiums and out-of-pocket expenses for beneficiaries resulting from healthcare spending to combat the COVID-19 pandemic. Covered California, the state’s health...

ESRD Proposal May Inadequately Reimburse Medicare Advantage Plans

by Kelsey Waddill

While payers and Medicare Advantage proponents applauded elements of the Medicare Advantage rule that CMS proposed yesterday which will increase plans’ revenues by nearly one percent, many...

Net Insurance Cost Spikes 13.2% in 2018 Due to Health Insurance Tax

by Kelsey Waddill

Health payer spending in 2018 saw a 13.2 percent increase in net insurance costs, driven largely driven by the health insurance tax reinstatement, an analysis by the Centers for Medicare and Medicaid...

Medicare Premiums, Deductibles for Parts A, B to Increase in 2020

by Samantha McGrail

The Medicare premium for premium will rise nearly seven percent in 2020, from $135.50 in 2019 to $144.60 next year, while the premium for Part A will rise almost five percent from $437.00 to $458.00 a...

HCCI Adds Blue Cross Blue Shield Claims Data to National Database

by Kyle Murphy, PhD

The Health Care Cost Institute and Blue Health Intelligence, a data division of Blue Cross Blue Shield Association, have struck a multiyear data partnership that will see the latter’s medical...