If the Medicare eligibility threshold dropped to 50 years of age and uptake was universal among those eligible, employer-sponsored health plans could see a 43 percent reduction in their healthcare...
Agents play a major role in guiding members during Medicare Advantage plan enrollment, but their methods may limit members’ ability to know all of their health plan options, a...
In 2019, Medicare beneficiaries who were living in the community were in good health and reported satisfaction with their Medicare coverage, including Medicare costs, quality of care, and access to...
As CMS reconsiders the Medicare Coverage of Innovative Technology (MCIT) rule which was finalized in mid-January 2021, America’s Health Insurance Plans (AHIP) has expressed its concerns regarding...
Those enrolled in Medicare who are ineligible for Medicaid are less likely to have supplemental coverage, leading to high cost-sharing limiting patient access to care, according to a new study...
The Medicare Advantage cost burden—or the number of individuals for whom healthcare costs absorb 20 percent or more of their income—is lower than the fee-for-service Medicare cost burden...
Male Medicare beneficiaries aged 65 and older were more likely to say that they understood Medigap or Medicare Advantage plans and that the enrollment process was easy, according to a recent survey...
One-third of adults who began dialysis with an employer-based group health plan (EGHP) switched to Medicare before the coordination period finished, resulting in $3 billion additional Medicare costs...
Medicare chronic disease management became even more challenging during the coronavirus pandemic, a recent Commonwealth Fund study confirmed.
Chronic conditions are common among Medicare beneficiaries...
Although many studies have touted Medicare Advantage plans’ successes in diminishing low-value care and pursuing high-value care, there are at least 13 areas of low-value care in which Medicare...
While both public option and capped provider payment rates have the potential to produce savings, the solutions differ in how they would impact insurer marketplaces, a recent analysis from the Urban...
Dual eligible beneficiaries—individuals who are eligible for both Medicaid and Medicare benefits—still experience challenges navigating the two programs and would benefit from an integrated...
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...
Medicare coverage increases seniors’ access to care and reduces affordability barriers, a study published in Health Affairs discovered.
“The Medicare program pays for roughly one of every...
The Biden administration has chosen Liz Richter, the Deputy Center Director of CMS, to be acting CMS Administrator while the new president chooses an official appointee for the role.
As the...
Four trends have continued to define the Medicare Advantage space in recent years, fact sheets from the Alliance of Community Health Plans (ACHP) revealed.
“Congress created Medicare Advantage...
CMS has issued a final rule entitled Medicare Coverage of Innovative Technology (MCIT) that aims to accelerate Medicare coverage of technological innovations.
“Government processes have slowed...
Medically underserved areas of the country received higher payments from The Coronavirus Aid, Relief, and Economic Security (CARES) Act Provider Relief Fund. But these funds are likely insufficient for...
As for-profit Medicare Advantage health plans rapidly expand across the nation and pick up a large share of the population’s enrollment, non-profit Medicare Advantage plans will have to adjust...
Overall healthcare spending in the US rose 4.6 percent in 2019 to hit $3.8 trillion, with private payers contributing a little more than three out of every ten healthcare dollars (31 percent), a recent...
