Medicare Advantage – medicarereport.org

Wednesday, November 29, 2023

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Emerging Health Issues Health Care - General Health Insurance Medicare Advantage Prior Authorization

Eileen Cook November 28, 2023November 28, 2023 Bipartisan Support, CMS, Medicare Advantage, Medicare Advantage claims denials, Medicare Advantage Prior Authorization

Bipartisan anger over Medicare Advantage denials on the rise

(By Rylee Wilson for Becker’s Hospital Review) Concerns about Medicare Advantage denials are on the rise in Washington, Politico reported

CMS Medicare - General Medicare Advantage Medigap Part D/Prescription Drugs

Eileen Cook November 27, 2023November 27, 2023 CMS, Healthcare Costs, medicare, Medicare Advantage, Medicare Part D, Older Adults

Medicare Advantage plans are not for everyone

There are many advantages to selecting a Medicare Advantage plan over traditional Medicare. Medicare Advantage plans have a limit on

CMS Health Care Finance HHS Medicare - General Medicare Advantage

Eileen Cook November 22, 2023November 22, 2023 Healthcare Finance, Hospital Insurance Trust Fund, medicare, Medicare Advantage, Medicare Insolvency, Medicare Utilization

Medicare solvency would be extended 17 years under Medicare Advantage utilization rates: Study

(By Jakob Emerson for Becker’s Hospital Review) The Hospital Insurance Trust Fund would be solvent until 2048 if traditional Medicare

CMS Health Care Finance Medicare Advantage

Eileen Cook November 21, 2023November 21, 2023 CMS, Healthcare Costs, Improper Payments, Medicare Advantage

CMS: Medicare Advantage received $16.6B in improper payments in 2023

(By Rylee Wilson for Becker’s Hospital Review) CMS paid Medicare Advantage organizations an estimated $16.6 billion in overpayments in fiscal

Health Care - General Medicare - General Medicare Advantage

Eileen Cook November 17, 2023November 17, 2023 Avoidable Hospitalization, medicare, Medicare Advantage, Older Adults

Why Medicare Advantage networks may reduce avoidable hospitalizations

(By Rylee Wilson for Becker’s Hospital Review) Differences in the clinicians Medicare Advantage and traditional Medicare beneficiaries see have some

CMS Medicare Advantage

Eileen Cook November 16, 2023November 16, 2023 CMS, Medicare Advantage, Medicare Advantage Ads

Medicare Advantage ads still under CMS scrutiny

(By Rylee Wilson for Becker’s Hospital Review) From October to December, airwaves are flooded with advertisements for Medicare Advantage plans,

Artificial Intelligence Health Insurance Legal Actions/Court Decisions Medicare Advantage

Eileen Cook November 15, 2023November 15, 2023 algorithm, Care Denials, Class Action Lawsuit, CMS, Medicare Advantage, Older Adults

UnitedHealth faces class action lawsuit over algorithmic care denials in Medicare Advantage plans

(By Casey Ross and Bob Herman for STAT) A class action lawsuit was filed Tuesday against UnitedHealth Group and a

Health Care Finance Medicare - General Medicare Advantage

Eileen Cook November 14, 2023 Alzheimer's Disease, Healthcare Costs, medicare, Medicare Advantage

What 5 recent studies found about Medicare Advantage

(By Rylee Wilson for Becker’s Hospital Review) Medicare Advantage enrollees tend to have lower hospital readmissions rates and expenses than

CMS Health Care Finance Medicare - General Medicare Advantage Part D/Prescription Drugs

Eileen Cook November 13, 2023November 13, 2023 CMS, medicare, Medicare Advantage, Medicare Open enrollment, Medicare Part D

It pays to review your choices

We are almost a month into Medicare Open Enrollment for 2024; have you reviewed other plans yet? If you are

CMS DHS -OIG Health Care Finance HHS Medicare Advantage Medicare Fraud; Illegal Activities

Eileen Cook November 13, 2023November 13, 2023 CMS, DHS -Office of Inspector General, False Claims Act, Healthcare Costs, Medicare Advantage

Feds ramp up Medicare Advantage scrutiny

(By Rylee Wilson for Becker’s Hospital Review) The federal government is ramping up scrutiny of Medicare Advantage plans. In October,

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