Medicare

AHIP, BCBSA Call For Federal COVID-19 Relief Funding

by Hannah Nelson

As the 116th Congress comes to a close, America’s Health Insurance Plans (AHIP) and Blue Cross Blue Shield Association (BCBSA) urged legislators to provide COVID-19 relief, calling for access to...

Medicare Advantage Quality of Care Surpasses Traditional Medicare

by Kelsey Waddill

Medicare Advantage quality of care exceeded traditional Medicare, particularly in preventive care, a recent Better Medicare Alliance study revealed. “The hallmark features of Medicare...

Prescription Coverage Draws Beneficiaries to Medicare Advantage

by Kelsey Waddill

Many Medicare beneficiaries are transitioning from another Medicare plan to Medicare Advantage, with the migration driven in part by the opportunity for prescription coverage under Medicare Advantage,...

How Health IT Promotes Medicare Member Caregiver Wellbeing

by Hannah Nelson

A new relationship between Blue Cross Blue Shield’s Regence health plans and Best Buy Health leverages health IT to address caregiver wellbeing and Medicare members. Eligible members enrolled in...

Medicare Value-Based Contracting Model Emphasizes Care Coordination

by Kelsey Waddill

CMS has introduced a new Medicare value-based contracting model that encourages greater care coordination and requires participants to take full risk for Medicare fee-for-service beneficiaries based on...

How 6 Patient Populations Receive Coronavirus Vaccine Coverage

by Kelsey Waddill

Coronavirus vaccine coverage is a complex subject, as it spans multiple patient populations that typically receive vaccine coverage in different ways, a Kaiser Family Foundation brief elucidated. As...

Employer-Sponsored Health Plans Call for Regulation, Transparency

by Hannah Nelson

Employers called for healthcare price regulation and transparency to ensure employer-sponsored health plan affordability in the annual Pulse of the Purchaser survey conducted by the National Alliance...

CMS Announces Medicare Coverage for Short-Term COVID-19 Therapy

by Kelsey Waddill

CMS announced that Medicare coverage will now extend to monoclonal antibodies for coronavirus treatment in certain cases. Monoclonal antibodies are lab-constructed antibodies, the National Institute...

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...

How the Coronavirus Pandemic Impacted Medicare Home Healthcare

by Kelsey Waddill

While the coronavirus pandemic has forced positive change elsewhere in the healthcare industry, Medicare home healthcare policies still have room to improve, a Commonwealth Fund study discovered. As...

CMS Releases Vaccine Coverage Plan, Medicare Reimbursement Rate

by Kelsey Waddill

CMS has released its Medicare reimbursement rate and official coverage strategy for the coronavirus vaccine when one is approved. For more coronavirus updates, visit our resource page, updated...

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...

59% MA Plan Proxies Rate End-of-Life Care Quality “Not Excellent”

by Kelsey Waddill

Responses from families and friends of deceased Medicare Advantage members indicate that Medicare Advantage plans have room for improvement on end-of-life care, a study published in JAMA Network Open...

Payer Premiums, Out-of-Pocket Costs Burden Medicare Beneficiaries

by Kelsey Waddill

Medicare beneficiaries are concerned about their future healthcare costs, particularly related to their health insurance, a MedicareGuide.com survey revealed. The results represent the online...

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...

5 Challenges, 5 Policy Solutions for the Medicare Enrollment Process

by Kelsey Waddill

Beneficiaries suffer from chronic confusion over Medicare enrollment but policymakers can take action to streamline the process and improve beneficiary experience, Better Medicare Alliance asserted in...

Open Enrollment 2020 Marks Shift Toward Virtual Member Engagement

by Kelsey Waddill

The unpredictable impacts of the coronavirus pandemic on Medicare open enrollment will require both broker and member engagement to be technology-enabled, transparent, and streamlined. Britta Orr,...

Humana’s Value-Based Care MA Model Cuts ED Admissions, Costs

by Kelsey Waddill

Humana’s value-based care models in Medicare Advantage helped lower emergency room admissions and, in turn, boosted savings for Medicare Advantage members, according to the payer’s recent...

Cost, Health Literacy Cause for Concern Ahead of Open Enrollment

by Kelsey Waddill

Entering into Medicare open enrollment 2021, Medicare enrollees and nearly-eligible enrollees continue to struggle with health literacy and healthcare costs, a survey commissioned by GoHealth...

Medicare Beneficiaries Require More Financial, Coverage Support

by Kelsey Waddill

Low income and minority seniors as well as those who are almost of age to become Medicare beneficiaries require greater financial and coverage support from the Medicare program, researchers from...