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...
Private payers are paying hospitals 2.5 times more than the Medicare reimbursement rate and employers have a role to play in rectifying the negotiating process, a recent RAND Corporation (RAND) study...
Going into what would be a tumultuous year for Medicare, twelve Medicare Advantage payers proved to be leaders in their field with five-star Medicare Advantage Star Ratings.
In a recent post, Matt...
CMS has issued a letter to Medicaid directors regarding how states can accelerate their Medicaid value-based care adoption, based largely on lessons learned in CMS efforts toward value-based care in...
Medicare Advantage special needs plans (SNPs) may help control healthcare spending for patients with end-stage renal disease (ESRD), a recent study published by Health Affairs found.
CMS established a...
Verily, Alphabet’s life sciences and healthcare subsidiary, and Swiss Re Corporate Solutions have announced that it will launch a payer for self-funded employers called Coefficient Insurance...
Payers can play a significant role in decreasing the expense and complexity of serious illness care for patients through whole person care and palliative care, a study from America’s Health...
Bonnie Burns, a training and policy specialist at California Health Advocates, has been advocating for consumers in the Medicare space for over four decades, including in the area of Medigap benefits. She was involved in the lawsuit that...
Medicare Advantage plans and other stakeholders reported that CMS waivers successfully enabled Medicare and Medicare Advantage telehealth access during the coronavirus pandemic, but several barriers...
Walmart has started offering health plan options, the retailer confirmed to CNBC.
The company has been somewhat enigmatic about its newest venture. It did not put out a press release, but rather...
Private payers are paying far more for coronavirus-related healthcare services than Medicare, a recent Kaiser Family Foundation brief discovered.
“Private insurance payments for inpatient...
Dual eligibles with end-stage renal disease (ESRD) differ from non-duals in demographic factors as well as healthcare spending characteristics, but their healthcare utilization rates are the same as...
The number of Medicare Advantage plans is increasing, while typically being of higher quality and yielding more cost-savings as opposed to fee-for-service Medicare, Better Medicare Alliance argued in...
Seriously ill populations tend to enroll in health plans that are less restrictive and that boast broader networks, a recent American Journal of Accountable Care (AJAC) study found.
The AJAC study...
While most Medigap policies did not see much change in Medigap enrollment growth, an increasing number of beneficiaries enrolled in Medigap plans G and N from 2015 through 2018, a report from...
Overall, nationwide healthcare coverage levels have remained steady because many furloughed workers are still receiving healthcare coverage through an employer-sponsored plan, Commonwealth Fund...
Medicare Advantage plans may see higher healthcare spending on end-stage renal disease (ESRD) populations when the new Medicare Advantage and Part D rule goes into effect, an Avalere study...
More than 1,750 Medicare Advantage and Medicare Part D plans will participate in the Part D Senior Savings Model in order to offer lower insulin costs in 2021, CMS announced.
“President Trump...
Coronavirus is changing member and beneficiary healthcare spending habits, including increased telehealth utilization and but lower overall healthcare utilization, a recent PwC Health Research...
More than six million seniors would face COVID-19 treatment out-of-pocket healthcare spending if diagnosed with the coronavirus, a Patient Assistance Network (PAN) Foundation issue brief recently...
