Medicare Advantage – Page 48 – medicarereport.org

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DHS -OIG Health Care Finance Medicare Advantage

6 Medicare Advantage plans audited for upcoding in the last six months

(By Rylee Wilson for Becker’s Hospital Review ) Audits published in the last six months found almost $32 million in

Eileen Cook June 9, 2023June 9, 2023 DHS -Office of Inspector General, Healthcare Finance, Medicare Advantage, Medicare Advantage Overpayments, Upcoding

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

The Facts About Medicare Spending

(Source - The Kaiser Family Foundation Published June 2023) Medicare provides health insurance coverage for more than 65 million people,

Eileen Cook June 8, 2023June 8, 2023 Aging Population, CMS, Healthcare Finance, medicare, Medicare Advantage, Medicare Part D, Older Adults

Aging Health Care - General Hospice/Home Health Services Medicare Advantage

Optum home care program linked to fewer emergency, hospital visits for Medicare Advantage members: Study

(By Jakob Emerson for Becker’s Hospital Review ) Medicare Advantage patients who receive in-home health visits through the Optum HouseCalls

Eileen Cook June 8, 2023June 8, 2023 Home Care, Medicare Advantage, Older Adults, Optum HouseCalls program

Legal Actions/Court Decisions Medicare Advantage

Retirees challenging New York City’s Aetna Medicare Advantage plan in court

(By Rylee Wilson for Becker’s Hospital Review ) A group of retired New York City employees are suing Mayor Eric

Eileen Cook June 1, 2023June 1, 2023 Lawsuit, Medicare Advantage, New York City Retirees, New York County Supreme Court

CMS Health Care Finance Medicare Advantage

Medicare Advantage star ratings decline will cost CVS Health up to $1B in revenue

(By Jakob Emerson for Becker’s Hospital Review ) CVS Health is expecting Aetna’s operating income to decrease by up to

Eileen Cook May 30, 2023May 30, 2023 Aetna, CMS, CVS Health, Healthcare Finance, Medicare Advantage, Medicare Advantage Star Ratings

Medicare - General Medicare Advantage

6 recent Medicare Advantage study findings

(By Rylee Wilson for Becker’s Hospital Review ) Medicare Advantage and traditional Medicare can differ on clinical quality and costs,

Eileen Cook May 23, 2023May 23, 2023 Cost and Quality, medicare, Medicare Advantage

CMS Legislative Update Medicare Advantage

Senators probing largest Medicare Advantage plans over how algorithms factor in care denials

(By Bob Herman and Casey Ross for ST A T) Senators warned the country’s largest Medicare Advantage insurers at a

Eileen Cook May 18, 2023May 18, 2023 Algorithms Factor, Care Denials, CMS, Medicare Advantage, Medicare’s Coverage rules

Medical Technology Medicare Advantage

Humana adds value-based durable medical equipment contractors for Medicare Advantage members

By Rylee Wilson for Becker’s Hospital Review ) Humana will contract with two durable medical equipment companies to provide medical

Eileen Cook May 15, 2023May 15, 2023 Durable Medical Equipment, Humana, Medical Technology, Medicare Advantage

Medicare Advantage

Medicare Advantage enrollment year by year

(By Andrew Cass for Becker’s Hospital Review ) Medicare Advantage enrollment now represents half of total Medicare enrollment, according to

Eileen Cook May 10, 2023May 10, 2023 Medicare Advantage, Medicare enrollment

Medicare Advantage

More research needed on Medicare Advantage care quality, Mount Sinai researchers say

(By Rylee Wilson for Becker’s Hospital Review ) More data is necessary to evaluate the quality of care Medicare Advantage

Eileen Cook May 9, 2023May 9, 2023 Cost and Quality, Medicare Advantage