article thumbnail

CMS data: Medicare Advantage tops 30M

Fierce Healthcare

CMS data: Medicare Advantage tops 30M. pminemyer. Tue, 01/17/2023 - 14:45

Medicare 212
article thumbnail

Medicare-certified hospitals must supply ownership data

Fierce Healthcare

Medicare-certified hospitals must supply ownership data. fdiamond. Tue, 12/20/2022 - 16:46

Medicare 236
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

House progressive bill wants to take Medicare out of Medicare Advantage's name

Fierce Healthcare

House progressive bill wants to take Medicare out of Medicare Advantage's name. rking. Thu, 10/13/2022 - 16:45

Medicare 264
article thumbnail

Reforming How Medicare Pays for Digital Health

Bill Of Health

Medicare could lead this charge. Congress has an opportunity to reform Medicare in 2024, when the Trust Fund will become insolvent. Reforms to Medicare’s traditional coverage and reimbursement approaches that harness the digital revolution can help the program secure additional value.

Medicare 180
article thumbnail

Medicare officials call for gradual shift in calculation of Medicare Advantage benchmarks to reflect growing popularity

Fierce Healthcare

Medicare officials call for gradual shift in calculation of Medicare Advantage benchmarks to reflect growing popularity rking Wed, 01/25/2023 - 17:10

Medicare 151
article thumbnail

Better Medicare Alliance: MA adds $32.5B in value to Medicare

Fierce Healthcare

Better Medicare Alliance: MA adds $32.5B in value to Medicare. rking. Thu, 10/21/2021 - 16:23

Medicare 234
article thumbnail

Medicare Advantage, telehealth expansion allies to helm key House panels

Fierce Healthcare

Medicare Advantage, telehealth expansion allies to helm key House panels. rking. Tue, 01/10/2023 - 17:25

Medicare 205
article thumbnail

Genetic testing lab owner convicted in $463M Medicare fraud case

Fierce Healthcare

Genetic testing lab owner convicted in $463M Medicare fraud case. fdiamond. Thu, 12/15/2022 - 14:14

Medicare 219
article thumbnail

Medicare Advantage plans brace for final controversial risk adjustment rule by Feb. 1

Fierce Healthcare

Medicare Advantage plans brace for final controversial risk adjustment rule by Feb. 1 rking Wed, 01/25/2023 - 15:39

Medicare 223
article thumbnail

Survey: Employers rein in health benefits for pre-Medicare and Medicare-eligible retirees

Fierce Healthcare

Survey: Employers rein in health benefits for pre-Medicare and Medicare-eligible retirees. fdiamond. Wed, 10/12/2022 - 15:37

Medicare 190
article thumbnail

SCAN launches new Medicare Advantage plan for LGBTQ+ seniors

Fierce Healthcare

SCAN launches new Medicare Advantage plan for LGBTQ+ seniors. pminemyer. Mon, 10/17/2022 - 17:22

Medicare 243
article thumbnail

KFF: Medicare Advantage enrollment reaches more than 28M in 2022, nearly half of total Medicare population

Fierce Healthcare

KFF: Medicare Advantage enrollment reaches more than 28M in 2022, nearly half of total Medicare population. rking. Thu, 08/25/2022 - 15:49

Medicare 208
article thumbnail

Better Medicare Alliance: 99.9% of Medicare Advantage plans offering supplemental benefits

Fierce Healthcare

Better Medicare Alliance: 99.9% of Medicare Advantage plans offering supplemental benefits. rking. Tue, 03/01/2022 - 14:41

Medicare 211
article thumbnail

Hospital lobbying against Medicare cuts intensifies

Health Care Dive

Hospital interests are sending letters to top congressional leadership and even launching ad campaigns in a bid to stave off pending Medicare cuts

Medicare 194
article thumbnail

Centene's Medicare CFO promoted to segment CEO

Health Care Dive

Rich Fisher's promotion comes weeks after the insurer reported a $535 million quarterly loss but a 25% growth in its Medicare business

Medicare 207
article thumbnail

BMA: Medicare Advantage outperforms fee-for-service on certain diabetes outcomes

Fierce Healthcare

BMA: Medicare Advantage outperforms fee-for-service on certain diabetes outcomes. rking. Tue, 01/10/2023 - 13:17

Medicare 208
article thumbnail

AMA: Medicare Advantage plans' lack of competition harms patients, physicians

Fierce Healthcare

AMA: Medicare Advantage plans' lack of competition harms patients, physicians. fdiamond. Tue, 11/01/2022 - 13:40

Medicare 202
article thumbnail

Milliman: Home benefits surge in popularity among Medicare Advantage plans

Fierce Healthcare

Milliman: Home benefits surge in popularity among Medicare Advantage plans. rking. Thu, 11/17/2022 - 15:17

Medicare 193
article thumbnail

Commonwealth Fund: Medicare inpatient spending concentrated among 2 systems in most regions

Fierce Healthcare

Commonwealth Fund: Medicare inpatient spending concentrated among 2 systems in most regions. rking. Thu, 01/05/2023 - 15:07

Medicare 231
article thumbnail

CMS rolls out changes to Medicare website aimed at usability

Fierce Healthcare

CMS rolls out changes to Medicare website aimed at usability. rking. Wed, 05/18/2022 - 14:21

Medicare 260
article thumbnail

CMS seeking feedback on ways to improve Medicare Advantage

Fierce Healthcare

CMS seeking feedback on ways to improve Medicare Advantage. pminemyer. Thu, 07/28/2022 - 16:34

Medicare 235
article thumbnail

MedPAC explores standardized plan options in Medicare Advantage

Fierce Healthcare

MedPAC explores standardized plan options in Medicare Advantage. rking. Thu, 09/01/2022 - 17:23

Medicare 219
article thumbnail

RAND: Private plans paid hospitals 224% more than Medicare rates

Fierce Healthcare

RAND: Private plans paid hospitals 224% more than Medicare rates. rking. Fri, 05/13/2022 - 15:26

Medicare 251
article thumbnail

From telehealth to Medicare cuts: Here are the health policies in Congress' $1.7T omnibus

Fierce Healthcare

From telehealth to Medicare cuts: Here are the health policies in Congress' $1.7T omnibus. rking. Tue, 12/20/2022 - 10:29

Medicare 240
article thumbnail

CMS proposes new Medicare Advantage and Part D reforms on prior authorization, marketing

Fierce Healthcare

CMS proposes new Medicare Advantage and Part D reforms on prior authorization, marketing. rking. Wed, 12/14/2022 - 17:09

Medicare 240
article thumbnail

Why was there a slowdown in Medicare spending growth over the past decade?

Healthcare ECONOMIST

The authors used data from the 2007-2018 Medicare Master Beneficiary Summary File and then ran a regression adjustment to control for patient demographics (i.e., In other words, Medicare spending was 0.1 HC Statistics Medicaid/Medicare Medicare Spending Growth

article thumbnail

OIG dings Medicare Advantage plans for use of prior authorization

Fierce Healthcare

OIG dings Medicare Advantage plans for use of prior authorization. pminemyer. Thu, 04/28/2022 - 13:17

Medicare 242
article thumbnail

CMS to restrict Medicare Advantage TV ads, scrutinize brokers and agents amid high complaints

Fierce Healthcare

CMS to restrict Medicare Advantage TV ads, scrutinize brokers and agents amid high complaints. rking. Wed, 10/26/2022 - 16:32

Medicare 271
article thumbnail

Senators to Medicare Advantage plans: Get your provider directories in order

Fierce Healthcare

Senators to Medicare Advantage plans: Get your provider directories in order. rking. Thu, 12/01/2022 - 16:41

Medicare 226
article thumbnail

Humana slashes Medicare Advantage outlook, shares tumble

Health Care Dive

Competition for members was "very aggressive" as Humana's competitors came in with lower-priced plans and spent more on marketing to attract customers away, CEO Bruce Broussard said

Medicare 234
article thumbnail

Medicare Poised to Expand Vision, Hearing, and Dental Benefits

Bill Of Health

One of the most discussed provisions in the omnibus bill would expand Medicare benefits to include hearing, vision, and dental care. Currently, millions of Americans are forced to go without the types of care that the proposed Medicare expansion would address. By Bailey Kennedy.

Medicare 148
article thumbnail

Brookings: A look at profitability in Medicare Advantage

Fierce Healthcare

Brookings: A look at profitability in Medicare Advantage. pminemyer. Wed, 07/13/2022 - 15:35

Medicare 211
article thumbnail

Experts say adding dental coverage to Medicare won't trigger major shift away from Medicare Advantage

Fierce Healthcare

Experts say adding dental coverage to Medicare won't trigger major shift away from Medicare Advantage. rking. Fri, 09/03/2021 - 13:30

Medicare 210
article thumbnail

Wyden probes marketing practices for Medicare Advantage, Part D plans

Fierce Healthcare

Wyden probes marketing practices for Medicare Advantage, Part D plans. rking. Tue, 08/23/2022 - 12:42

Medicare 197
article thumbnail

Feds sue Cigna over alleged Medicare Advantage overpayments linked to home assessments

Fierce Healthcare

Feds sue Cigna over alleged Medicare Advantage overpayments linked to home assessments. pminemyer. Mon, 10/17/2022 - 15:46

Medicare 258
article thumbnail

Exploring Recent Home Health-Medicare Advantage Developments

Home Health Care

With a positive market-basket update for 2023 but also jarring long-term cuts, it will have ramifications for home health providers for years potentially, barring mitigating legislation or a complete change of course from the Centers for Medicare & Medicaid Services (CMS).

article thumbnail

SCAN plans to expand Medicare Advantage offerings into Texas

Fierce Healthcare

SCAN plans to expand Medicare Advantage offerings into Texas. pminemyer. Fri, 08/05/2022 - 12:44

Medicare 194
article thumbnail

Survey: 13% of Medicare Advantage claims, prior authorization requests denied

Fierce Healthcare

Survey: 13% of Medicare Advantage claims, prior authorization requests denied. rking. Wed, 06/08/2022 - 16:48

Medicare 209
article thumbnail

Are Integrated Medicare Advantage Plans better?

Healthcare ECONOMIST

The authors use 2015-2017 data from the Centers for Medicare and Medicaid services and control for other differences between integrated and non-integrated Medicare Advantage (MA) plans using state fixed effects and contract random effects. percentage points lower among non-Hispanic Black, Medicare-Medicaid dual eligible, and the disabled]. Industrial Organization Medicaid/Medicare Medicare Advantage

article thumbnail

2021 Medicare Trustees Report

Healthcare ECONOMIST

The 2021 Medicare Trustees Report–formerly known as the “ Annual Report of the Boards of Trustees of the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund “–had some grim news. Program overview Medicare covered 62.6

article thumbnail

Senate panel finds Medicare Advantage marketing complaints increase for some states

Fierce Healthcare

Senate panel finds Medicare Advantage marketing complaints increase for some states. rking. Thu, 11/03/2022 - 16:30

Medicare 223
article thumbnail

Study examines differences in coverage denials for traditional Medicare, MA

Fierce Healthcare

Study examines differences in coverage denials for traditional Medicare, MA. agliadkovskaya. Thu, 01/06/2022 - 17:00

Medicare 241
article thumbnail

CMS rule seeks to curb delays in Medicare coverage, expands special enrollment periods

Fierce Healthcare

CMS rule seeks to curb delays in Medicare coverage, expands special enrollment periods. rking. Fri, 10/28/2022 - 17:20

Medicare 241