Medicare Advantage’s popularity continues to grow in 2023 as enrollment figures and plan options increase. The private program has received mixed reviews from healthcare stakeholders, with members generally reporting high plan...
Half of all Medicare beneficiaries are enrolled in Medicare Advantage, according to the most recent enrollment data from CMS.
The CMS data found that, as of January 2023, 30.19 million of the 59.82...
As CMS sunsets the Medicare-Medicaid plan model, Congress and the agency will need to take steps to expand the Medicare-Medicaid Coordination Office (MMCO) oversight capabilities and protect the...
Humana has partnered with an academic institution to expand a program that assists seniors with food insecurity challenges.
Meals on Wings is a program at the University of Northern Florida (UNF),...
Adjusting eligibility criteria for Medicare prescription drug price negotiation under the Inflation Reduction Act to include drugs with biosimilars and allow for drug selection based on net spending...
Health insurance coverage gaps and uninsurance were associated with a higher risk of unmet vision care needs among adults in Ohio, indicating the importance of continuous coverage, a study published in...
Medicare beneficiaries under age 65 reported more cost concerns, worse access to care, and lower care satisfaction compared to older beneficiaries, indicating that the program may not successfully meet...
Losing eligibility for Medicaid supplemental insurance was associated with racial care disparities among beneficiaries with incomes above 100 percent of the federal poverty level (FPL), a study...
More Medicare beneficiaries are purchasing Medicare Supplement insurance, as the share of individuals with the additional coverage option grew from 38 percent to 41 percent in 2021, an AHIP report...
Healthcare utilization was lower in Medicare Advantage compared to traditional Medicare, but clinical quality performance was higher in the private program, a study published in Health Affairs...
The Office of the Inspector General (OIG) found that most of the audited diagnosis codes that Geisinger Health Plan sent to CMS for its Medicare Advantage plan were non-compliant.
The office audited...
As Medicare Advantage enrollment grows, the Medicare Payment Advisory Commission (MedPAC) is calling on Congress to address payment and coding differences between Medicare Advantage and Medicare...
Beneficiaries with end-stage renal disease (ESRD) are increasingly shifting from Medicare fee-for-service (FFS) to Medicare Advantage, leading more Medicare Advantage plans to form value-based...
The Department of Health and Human Services (HHS) and CMS have lowered prices for over two dozen Medicare prescription drugs including biologics for a set timeframe.
Starting on April 1, 2023,...
Throughout 2022, Humana provided a high level of financial support to the state of Florida, taking responsibility for many jobs and a large share of wages and taxes.
Recent news from Humana...
Health insurance coverage may help mitigate racial inequities in advanced-stage cervical cancer diagnoses, according to a study published in JAMA Network Open.
Undergoing regular cervical cancer...
Medicare Advantage beneficiaries with ambulatory care sensitive conditions (ACSCs) experienced lower rates of hospitalizations but higher rates of emergency department (ED) direct discharges and...
Medicare Part D plan liability could lead to major changes in benefits and formulary design for beneficiaries in the coming years, according to an Avalere study that was funded by PhRMA.
The...
Humana has announced plans to leave the employer group insurance business and direct its focus toward its government-funded health plan offerings.
The payer’s employer group commercial medical...
Medicare Advantage beneficiaries were more likely to enroll in hospice from a community setting rather than a hospital or nursing home setting compared to traditional Medicare beneficiaries, according...
