Medicare

Top 4 Medicare Advantage Penetration, Access Trends in 2023 Open Enrollment

by Kelsey Waddill

Medicare Advantage beneficiaries will have more health plan options available to them now than they have at any point in over a decade, according to data from the Kaiser Family Foundation....

Community Health Plans Lowered Consumer Healthcare Spending in 2022

by Kelsey Waddill

Alliance of Community Health Plan (ACHP) payers have secured lower healthcare spending for members in 2022 through premium adjustments, efforts related to prescription drug pricing, and more, according...

Medicare Advantage Offers Better Access to Behavioral Healthcare Than FFS

by Kelsey Waddill

Medicare Advantage plans may better equipped to provide behavioral healthcare services to Medicare beneficiaries than fee-for-service Medicare, a Better Medicare Alliance report found. The research...

2020 Medicare Open Enrollment Saw Low Rates of Plan Comparison

by Kelsey Waddill

During 2020 Medicare open enrollment which took place in 2019, less than a third of Medicare beneficiaries compared their health plans with other available Medicare plans, according to an issue brief...

Dialysis Triples Healthcare Spending for Members with Chronic Diseases

by Kelsey Waddill

Dialysis increased monthly spending for privately-covered members with chronic diseases by approximately 292 percent, according to a study published in JAMA Open Network. The researchers drew their...

How End of PHE Will Impact Consumer COVID-19 Healthcare Spending By Coverage Type

by Kelsey Waddill

Federal funding was crucial in enhancing access to coronavirus resources during the initial phases of the pandemic, but questions remain about what will occur when the public health emergency ends and...

Older Beneficiaries Choose Medicare Advantage for Enhanced Benefits

by Victoria Bailey

As Medicare Advantage enrollment is expected to rise in the coming years, a new survey from the Commonwealth Fund revealed that beneficiaries are choosing the private program over traditional Medicare...

Healthcare Utilization Lower for MA Beneficiaries with Complex Care Needs

by Victoria Bailey

Among Medicare beneficiaries with complex care needs, those enrolled in Medicare Advantage had lower acute healthcare utilization than traditional Medicare beneficiaries, including lower rates of...

Health Plan Shares Insurance Definitions to Boost Member Health Literacy

by Kelsey Waddill

In honor of National Health Literacy Month, Sunflower Health Plan shared the definitions to some basic health insurance terms with its members to improve member health literacy. During National Health...

Home Health Value Based Purchasing Model Slightly Improved Spending, Care

by Kelsey Waddill

Home health value-based purchasing was associated with lower utilization and spending and slight improvements in quality of care, an analysis published in the JAMA Health Forum found. The researchers...

Inflation Reduction Act Takes Effect: Biosimilar Payment Boost for Medicare

by Kelsey Waddill

CMS and the Department of Health and Human Services (HHS) have initiated certain elements of the Inflation Reduction Act related to biosimilars. On October 3, 2022, the statements from the Inflation...

4 Payers Share 2023 Medicare Open Enrollment Benefits, Inflation Drives Updates

by Kelsey Waddill

For the 2023 Medicare open enrollment period, payers are introducing new benefits and expanding old ones with the aim of lowering costs and reducing healthcare’s complexity. One of the major...

Top 10 Highest Performing Medicare, Medicaid Health Plans

by Editorial Staff

The top-performing Medicare and Medicaid health plans for the 2020-21 plan year earned exceptional quality scores based on the plans’ customer satisfaction, preventive care, and treatment...

Problems with Medicare Advantage Payment System Contribute to Overpayment

by Kelsey Waddill

The Medicare Advantage program has serious structural problems that lead to overpayment and policymakers must take action on MedPAC’s recommendations in order to create a more cost-effective...

HHS Procures Federally-Covered COVID-19 Treatment Doses For Uninsured

by Kelsey Waddill

The US Department of Health and Human Services (HHS) will cover doses of the coronavirus monoclonal antibody treatment bebtelovimab for the uninsured and underinsured, the department...

Increasing Medicare Spending Calls For Short, Long Term Financing Solutions

by Kelsey Waddill

With Medicare spending increasing, finding both short- and long-term solutions for Medicare financing is imperative, an issue brief from Urban Institute found. “With Medicare spending growing...

How Do Medicare Advantage Plans Compare to Traditional Medicare?

by Victoria Bailey

Medicare Advantage and traditional Medicare beneficiaries reported similar satisfaction rates, but access to care, affordability, and healthcare utilization differed among the two populations,...

Medicare Advantage Boasts Fewer Low-Value Care Services Than FFS Medicare

by Kelsey Waddill

Low-value care services were less common for Medicare Advantage (MA) beneficiaries—particularly those in health maintenance organizations (HMOs)—than for traditional Medicare (TM)...

Middle-Income Seniors Will Struggle to Afford Paid Caregiving in 2033

by Kelsey Waddill

Middle-income seniors will have restricted options for assisted living in 2033 due to financial strain, a study conducted by NORC and funded by SCAN Health Plan found. The researchers relied on the...

48% of Medicare Beneficiaries are Enrolled in Medicare Advantage Plans

by Victoria Bailey

Medicare Advantage enrollment has continued to grow in 2022, with almost half of eligible Medicare beneficiaries enrolled in a Medicare Advantage plan, according to an analysis from the Kaiser Family...