Medicare Advantage – medicarereport.org

Saturday, May 24, 2025

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CMS Health Care Finance Medicare Advantage

Eileen Cook May 22, 2025May 22, 2025 CMS, Healthcare Finance, Medicare Advantage, Medicare Advantage Audits

CMS Rolls Out Aggressive Strategy to Enhance and Accelerate Medicare Advantage Audits

(Source – www.cms.gov) The Centers for Medicare & Medicaid Services (CMS) announced a significant expansion of its auditing efforts for

CMS Health Care Redesign Legislative Update Medicare Advantage

Eileen Cook May 21, 2025May 21, 2025 Improving Seniors' Timely Access to Care Act, Medicare Advantage, Medicare Advantage Prior Authorization, Older Adults

Improving Seniors’ Timely Access to Care Act

‘Improving Seniors’ Timely Access to Care Act of 2025 was reintroduced by U.S. Senators Roger Marshall, M.D. and Mark Warner

Illegal Activities Medicare Advantage

Eileen Cook May 19, 2025May 19, 2025 Kickbacks, Medicare Advantage

Trump’s DOJ Accuses Medicare Advantage Insurers of Paying ‘Kickbacks’ for Primo Customers

(By Julie Appleby for KFF Health News) When people call large insurance brokerages seeking free assistance in choosing Medicare Advantage

Medicaid Medicare - General Medicare Advantage

Eileen Cook May 14, 2025May 14, 2025 Grocery Allowance, medicare, Medicare Advantage, Older Adults

How do you qualify for a grocery allowance through Medicare Advantage?

We have all seen TV ads or social media posts about seniors qualifying for a grocery allowance, but who qualifies?

Employer Healthcare Health Care Finance Health Insurance Medicare Advantage

Eileen Cook May 13, 2025May 13, 2025 Commercial Health Insurance, Health Insurance, Healthcare Finance, Medicare Advantage

Insurers pay higher commercial prices to hospitals in their Medicare Advantage network: Study

(By: Jakob Emerson for Becker’s Hospital Review) On average, insurers pay 4.7% higher commercial prices to hospitals that are a part

CMS Health Care Redesign Medicare - General Medicare Advantage Prior Authorization

Eileen Cook May 1, 2025May 1, 2025 CMS, Healthcare Reform, medicare, Medicare Advantage, Prior Authorization

CMS weighing prior authorization reforms: Report

(By: Andrew Cass for Becker’s Hospital Review) CMS is considering proposals that would cut the number of procedures that are subject

Health Care Redesign Medicare - General Medicare Advantage

Eileen Cook April 30, 2025April 30, 2025 Default Enrollment, medicare, Medicare Advantage, Older Adults

5 Questions About the Idea of Default Enrollment into Medicare Advantage Plans

(By Meredith Freed, Juliette Cubanski, Jeannie Fuglesten Biniek, and Tricia Neuman for The Kaiser Family Foundation Published: Apr 29, 2025)

CMS Medicare Advantage

Eileen Cook April 29, 2025April 29, 2025 CMS, Health Risk Assessments, Medicare Advantage, Older Adults

Medicare Advantage Insurers Often Use Rewards and Incentives to Encourage Enrollees to Complete Health Risk Assessments (HRAs)

(By Meredith Freed, Nolan Sroczynski, and Jeannie Fuglesten Biniek for The Kaiser Family Foundation Published: Apr 28, 2025) Beginning in

Medicare - General Medicare Advantage

Eileen Cook April 25, 2025April 25, 2025 Healthcare Costs, Healthcare Finance, medicare, Medicare Advantage, Older Adults

The difference in care between Medicare and Medicare Advantage members

With the increasing enrollment by Medicare recipients in Medicare Advantage health plans and the issue of prior authorization requirements and

CMS Medicare - General Medicare Advantage Part D/Prescription Drugs Rural Health

Eileen Cook April 24, 2025April 24, 2025 medicare, Medicare Advantage, Medicare Part D, Older Adults, Rural Health

Stand-Alone Drug Plans Cover a Larger Share of Medicare Part D Enrollees Living in the Most Rural Areas Than Medicare Advantage Plans

(By Juliette Cubanski, Tricia Neuman, and Anthony Damico for The Kaiser Family Foundation Published: Apr 23, 2025) The growing role

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