CMS – Page 59 – medicarereport.org

A trusted source for Medicare news and education from the AMAC Foundation.

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

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

CMS Health Care Finance 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

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

CMS Medicare Advantage

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

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

CMS Health Care - General Health Care Finance Medicare - General

Compensation Is Key to Fixing Primary Care Shortage

(By Michelle Andrews for KFF Health News) Money talks. The United States faces a serious shortage of primary care physicians

Eileen Cook November 16, 2023November 16, 2023 CMS, Compensation, Healthcare Costs, medicare, Primary Care, Primary Care Shortage

Artificial Intelligence Health Insurance Legal Actions/Court Decisions Medicare Advantage

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

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

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

CMS Health Care Finance Health Care Redesign Legislative Update Medicare - General Part D/Prescription Drugs

Biden Administration’s Limit on Drug Industry Middlemen Backfires, Pharmacists Say

(By Arthur Allen for KFF Health News) The Biden administration’s first major step toward imposing limits on the pharmacy benefit

Eileen Cook November 15, 2023November 15, 2023 Clawed Back Fee, CMS, Healthcare Costs, medicare, Medicare Part D, PBM Industry, Performance Fees

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

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

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

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

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

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

Health Care Finance Medicare Advantage

14 insurers exiting Medicare Advantage in 2024

(By Rylee Wilson for Becker’s Hospital Review ) Fourteen insurers are exiting Medicare Advantage markets in 2024, according to an

Eileen Cook November 9, 2023 CMS, Medicare Advantage, Older Adults

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

US to Cover HIV Prevention Drugs for Older Americans to Stem Spread of the Virus

(By Michael Scaturro for KFF Health News) A proposed federal policy aims to protect older Americans from contracting HIV by

Eileen Cook November 8, 2023November 8, 2023 CMS, HIV Prevention Drugs, medicare, Medicare Part D, Older Adults