Medicare Advantage beneficiaries experience higher quality care and better health outcomes than fee-for-service beneficiaries, according to a report from Harvard and Inovalon.
Researchers used...
In a country with rampant health disparities, health insurance coverage can be the difference between accessing necessary services and going without care. How health plans cover care for socially disadvantaged and vulnerable populations...
The Department of Health and Human Services (HHS) will ensure access to a coronavirus therapy from Pfizer for Medicare and Medicaid beneficiaries and the uninsured through a patient assistance program,...
Monthly Medicare Part B premiums will increase by nearly $10 in 2024 due to a projected increase in healthcare spending, CMS announced.
Medicare Part B covers physician services, outpatient hospital...
The Medicare drug price negotiation provisions in the Inflation Reduction Act hold promising spending reductions for beneficiaries, but drug companies are not backing down without a fight.
In August...
Medicare Advantage beneficiaries with cancer experienced lower out-of-pocket costs and had access to more benefits than those in Medicare fee-for-service (FFS), research conducted by ATI Advisory and...
Increased rates of switching from Medicare fee-for-service (FFS) to Medicare Advantage in recent years have contributed to Medicare Advantage enrollment growth, a study published in Health Affairs...
The CMS States Advancing All-Payer Health Equity Approaches and Development Model (AHEAD Model) rallies states and a broad scope of healthcare stakeholders around health equity improvement through primary care investments and...
Around half of Medicare Advantage beneficiaries disenrolled from their health plan after five years, a study published in JAMA Health Forum found.
Capitated payments to Medicare Advantage plans aim to...
The Affordable Care Act (ACA) and Medicare Advantage plans continue to bolster enrollment for major payers.
Enhanced premium subsidies on the ACA market along with greater federal investments in...
Individuals were more likely to receive breast cancer and colorectal cancer screenings after obtaining Medicare coverage, according to a study from Epic Research.
The Affordable Care Act requires...
In an effort to improve care quality and lower costs, the healthcare industry has been working on shifting from fee-for-service to value-based care delivery. The two models differ in the way providers are reimbursed for the care they...
Updated 8/24/2023: This article has been updated to reflect that the share of healthcare spending on low value care was highest in commercial health plans. Previously, the article framed...
Medicare Advantage beneficiaries with chronic conditions had lower healthcare spending and fewer emergency room visits than fee-for-service (FFS) beneficiaries, according to a report from Avalere...
High-risk medication use was lower among Medicare Advantage beneficiaries compared to those enrolled in traditional Medicare, a study published in JAMA Network Open revealed.
High-risk medications...
Beneficiaries with multiple chronic conditions did not have higher rates of switching between Medicare Advantage and Medicare fee-for-service (FFS), according to a study published in JAMA.
As Medicare...
More than half of adults experienced problems with their health insurance, with issues ranging from payment discrepancies to limited mental healthcare coverage, a KFF survey found.
The survey was...
Medicare Advantage overpayments may exceed $75 billion in 2023 due to favorable selection of Medicare Advantage plans, data from the USC Schaeffer Center for Health Policy & Economics...
The Centers for Medicare and Medicaid Services (CMS) has announced that it will provide Medicare coverage for new Alzheimer’s drugs if they receive traditional approval from the Food and Drug...
Given the substantial costs, Medicare coverage of weight loss drugs could lead to higher Medicare spending but may help reduce access disparities, according to a KFF policy watch.
GLP-1 (glucagon-like...
