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...
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...
Alliance of Community Health Plans (ACHP) shared how its community health plan members are preparing Medicaid enrollees for the Medicaid redetermination process in a fact sheet.
The redetermination...
The average star ratings for Medicare Advantage plans with prescription drug coverage and Part D plans were 4.15 and 3.25, which marked decreases from last year, the 2023 Medicare Advantage Star...
Medicare Advantage plans that exclusively serve dual eligible beneficiaries offered more social determinants of health (SDOH) and nonmedical supplemental benefits than general Medicare Advantage plans,...
Around 3.6 million children in the US are uninsured, but coverage varies by race, state, and income, highlighting stark disparities in children’s health insurance coverage, according to a report...
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...
The Department of Health and Human Services (HHS) has approved two Medicaid section 1115 demonstration initiatives that aim to offer continuous coverage to children and seek to address social...
Medicare Part B premiums and deductibles will decrease in 2023, while Part A costs will rise, according to a fact sheet released by CMS.
Medicare Part B offers coverage for physician services,...
Almost half of medical loss ratio (MLR) reports from state Medicaid managed care plans were incomplete, indicating the need for CMS to increase states’ oversight of MLR reporting, the Office of...
The North Carolina Healthcare Association (NCHA) has submitted a proposal to lawmakers that aims to overcome the stall in negotiations and pass Medicaid expansion.
The proposal was delivered to Senate...
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...
Coverage type may be a factor in unfair treatment in the patient experience among the uninsured and those with public insurance coverage, according to an Urban Institute study.
“Unfair treatment...
Medicare Advantage and traditional Medicare beneficiaries reported similar satisfaction rates, but access to care, affordability, and healthcare utilization differed among the two populations,...
States across the country are working with the US Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) to obtain Section 1115 demonstration waivers to...
Incorporating Alzheimer’s disease and related dementias (ADRD) Hierarchical Condition Categories (HCCs) into risk adjustment for Medicare Advantage and Medicare accountable care organizations...
The US Department of Homeland Security (DHS) released its public charge final rule which clarifies how HHS and states will supply benefits for noncitizens—namely, that the use of most public...
Health insurance type is a risk factor for delayed diagnosis of colon cancer, according to a research letter published in JAMA Network Open.
The researchers noted that less than four out of ten...
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...
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...
