Medicare

Medicare Covers COVID-19 Booster for Immunocompromised Americans

by Kelsey Waddill

CMS has announced that immunocompromised individuals will receive the coronavirus booster shot without cost-sharing. On August 12, 2021, the Food and Drug Administration (FDA) recommended a booster...

CMS: Medicare Part D Monthly Premium May Be 5% Higher in 2022

by Kelsey Waddill

CMS estimates that the average monthly premium for Medicare Part D coverage will increase in 2022. “Driving down prescription drug costs remains a priority for the Biden-Harris...

Medicare Survey Explores COVID-19 Vaccine Uptake Among Seniors

by Kelsey Waddill

CMS has released preliminary data on Medicare beneficiary experiences during the coronavirus pandemic including coronavirus vaccine uptake. The agency conducted the Medicare Current Beneficiary Survey...

How Medicare Eligibility Impacts Racial Coverage Disparities

by Kelsey Waddill

Medicare eligibility may reduce racial and ethnic disparities in healthcare coverage, according to a JAMA Network study. The researchers used the Behavioral Risk Factor Surveillance System and the...

Why Catastrophic Medicare Part D Drug Spending Is On The Rise

by Kelsey Waddill

For over a decade, an increasing number of Medicare beneficiaries have shouldered catastrophic Medicare Part D drug spending that exceeds the catastrophic threshold, according to a recent Kaiser Family...

AHIP, Other Stakeholders Support Medicare Value-Based Care Bill

by Kelsey Waddill

In a joint letter to the four representatives who introduced the bill in the House of Representatives, payer and provider organizations have thrown their support behind the Value in Health Care Act of...

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...

Medicare Supplemental Coverage Tied to Fewer Cost-Related Hurdles

by Victoria Bailey

Medicare Advantage beneficiaries experience higher rates of problems related to healthcare spending compared to traditional Medicare beneficiaries who have Medicare supplemental coverage, according to...

87% of Eligible Seniors Do Not Receive Lung Cancer Screenings

by Kelsey Waddill

Seniors who do not have coverage for lung cancer screenings as a preventive service are less likely to receive the screening, a recent study from Epic Health Research Network (EHRN) found. EHRN...

Aetna Expands Alignment Program for Dual Eligibles in Illinois

by Victoria Bailey

Aetna is expanding its existing Medicare-Medicaid Alignment Initiative (MMAI) plan to provide coverage for all dual eligibles in Illinois. Since March 2014, the MMAI has been providing coordinated...

Humana Expands Value-Based Care Model to Cover More Seniors

by Victoria Bailey

Humana’s CenterWell Senior Primary Care (CenterWell) is expanding its value-based care model to Original Medicare members to improve care quality and health outcomes, as well as lower the cost of...

PAHCF Opposes Medicare Expansion, Suggests Extending ACA Policies

by Victoria Bailey

The Partnership for America’s Health Care Future (PAHCF) has voiced their opposition to Medicare expansion, which would open up Medicare coverage to younger Americans in a recent statement which...

How to Assess the Future of Emergency, COVID-19 Medicare Policies

by Kelsey Waddill

Congress and the Biden administration will have to determine which emergency, COVID-19 Medicare policies should be made permanent or be extended, according to a recent Commonwealth Fund study, and...

Medicare Advantage Dual Eligibles Have Better Access to Care

by Kelsey Waddill

Medicare Advantage dual eligibles reported better access to care and access to telehealth during the coronavirus pandemic than traditional Medicare beneficiaries did, a report from NORC at the...

Expanding Medicare Could Increase Coverage but Raise Premiums

by Victoria Bailey

Expanding access to Medicare could help provide coverage for millions of Americans, but the premiums could increase compared to some individuals’ current subsidized exchange plans, according to...

Medicare Advantage Plans Draw More Members with Chronic Diseases

by Kelsey Waddill

In 2020, Medicare Advantage plans attracted members with chronic diseases but still maintained lower out-of-pocket healthcare spending for members than fee-for-service Medicare coverage did, a Better...

Cancer Patient Outcomes Significantly Worse for the Uninsured

by Victoria Bailey

Patient outcomes are significantly worse in cancer patients who do not have insurance compared to insured patients, according to Gerard Silvestri, MD, professor of medicine and a lung cancer...

FFS Medicare May Boast Lower Cost Barriers than Private Medicare

by Kelsey Waddill

Adults ages 65 and older with traditional Medicare boasted similar access to care and a lower rate of cost barriers to care when compared with privately-insured seniors between the ages of 50 and 64, a...

Humana Joins Traditional Medicare Value-Based Contracting Model

by Kelsey Waddill

Humana has announced that it will be participating in a CMS traditional Medicare value-based contracting model and will offer coordinated care for traditional Medicare...

Humana Continues Home Healthcare Expansion in $8.1B Acquisition

by Kelsey Waddill

Humana announced that it has signed an agreement to acquire the rest of the Kindred at Home program as part of its home healthcare expansion. “We continue to invest in assets that allow...