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...
Medicare Advantage enrollment has grown in the last decade largely due to an influx of Black, Hispanic, and low-income beneficiaries, a research letter published in the JAMA Health Forum found.
Before...
When federal funding for the Navigator program was reduced significantly, private companies did not make up for the lack of outreach, according to a study published in JAMA Network Open.
“Many...
Humana has announced its plan to acquire all of the assets of Inclusa; a Wisconsin-based Medicaid managed care organization.
Inclusa provides long-term care coverage to over 16,000 older adults and...
Treatment initiation rates for hepatitis C indicate care disparities for individuals who are not White as well as those who are younger and male individuals, a report from the Centers for Disease...
When the Senate passed the Inflation Reduction Act on August 4, 2022, payers and payer organizations met the proposed law with largely positive reactions, though some payer groups pointed out areas...
SCAN Health Plan (SCAN) announced it will be extending Medicare Advantage plans into Texas and new counties in Nevada in 2023.
“As SCAN continues to grow and build its national reputation as a...
The presence of long COVID may spur changes in health insurance coverage, as people with employer-sponsored health plans may have to cut back their hours or stop working, according to data from the...
Family income is a significant factor in the levels of out-of-pocket and catastrophic spending on insulin among insulin users, a study published in Health Affairs found.
The researchers leveraged 2017...
Medicare Advantage plans are seeing low healthcare spending, strong diversity, and high enrollment in 2022 compared to 2021 and earlier years, according to the Better Medicare Alliance’s 2022...
Under Medicare Part D, more than half of the beneficiaries were liable for paying the entire out-of-pocket cost of their generic prescription drug, according to an analysis from Avalere.
Avalere...
Medicare-eligible individuals continue to find original Medicare enrollment processes confusing and may overestimate their healthcare literacy, a report conducted by Sage Growth Partners...
AHIP acknowledged the need for improved oversight for certain Medicare Advantage quality metrics but also argued that federal reporting on Medicare Advantage plans has been inaccurate in the...
The Office of Inspector General (OIG) has discovered that Medicare’s race and ethnicity data was less accurate for minority groups—particularly for those who identify as American Indian or...
Medicare Advantage enrollment is on the rise across the United States, with more than 100 congressional districts boasting Medicare Advantage coverage of 50 percent or higher, according to an...
In its June 2022 report to Congress, MACPAC laid out ways that states can improve the integration of Medicare and Medicaid coverage for dually eligible individuals.
“Fully integrated models are...
By implementing a $5,000 spending cap in traditional Medicare, policymakers might be able to halve out-of-pocket healthcare spending for high-spending Medicare beneficiaries, but they risk an increase...
Members of the LGBTQ+ community reported varying experiences of discrimination in the health insurance industry but indicated that payer health equity may be improving, according to a survey from...
Humana has announced that it is adding 14 states to its CenterWell Home Health model by continuing to integrate its home healthcare program, Kindred at Home.
The payer has been transitioning its...
CMS is considering using savings from low Medicare spending in Medicare Part B to offset beneficiaries’ 2023 Medicare Part B premiums.
The agency released a report examining whether CMS should...
