Watchdog Estimates $7.5 Billion Medicare Advantage Overpayment from “Questionable” Health Risk Assessments
When the Centers for Medicare & Medicaid Services (CMS) pays Medicare Advantage (MA) organizations, they increase the payments when plans
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When the Centers for Medicare & Medicaid Services (CMS) pays Medicare Advantage (MA) organizations, they increase the payments when plans
For the nearly 13 million people enrolled in both Medicare and Medicaid—known as dual eligible individuals—Medicare is their primary insurer. It
The Inflation Reduction Act (IRA) made significant improvements to Medicare prescription drug access and affordability, including by restructuring the Part
This month, Families USA hosted an important webinar on Medicare Advantage (MA) issues, including overpayment, marketing abuses, and delays caused
Key components of the Inflation Reduction Act’s Part D reforms will be fully implemented for plans offered in 2025. These
Late last week, the Centers for Medicare & Medicaid Services (CMS) finalized a rule that codifies appeal rights for people
Earlier this week, Vice President Harris announced a new proposal that would expand in-home services for people with Medicare. Many people with Medicare struggle with activities of daily living like bathing, dressing, eating, or toileting but do not need intensive medical care.
Medicare open enrollment is just around the corner, and there will be major changes in 2025 that beneficiaries should keep in mind, and some of these changes may affect what plans people choose.
A new series of KFF state snapshots captures health care issues at the forefront of national, state, and local elections,
Starting September 30, Medicare changed the way it covers certain services that can reduce an individual’s risk of acquiring HIV. Previously, Pre-exposure Prophylaxis (PrEP) using antiretroviral drugs was covered under Part D and was subject to regular cost sharing. Now, FDA-approved PrEP using antiretroviral drugs and the administration of injectable PrEP are covered under Part B as a preventive service.
When the Centers for Medicare & Medicaid Services (CMS) pays Medicare Advantage (MA) organizations, they increase the payments when plans
For the nearly 13 million people enrolled in both Medicare and Medicaid—known as dual eligible individuals—Medicare is their primary insurer. It
The Inflation Reduction Act (IRA) made significant improvements to Medicare prescription drug access and affordability, including by restructuring the Part
This month, Families USA hosted an important webinar on Medicare Advantage (MA) issues, including overpayment, marketing abuses, and delays caused
Key components of the Inflation Reduction Act’s Part D reforms will be fully implemented for plans offered in 2025. These
Late last week, the Centers for Medicare & Medicaid Services (CMS) finalized a rule that codifies appeal rights for people
Earlier this week, Vice President Harris announced a new proposal that would expand in-home services for people with Medicare. Many people with Medicare struggle with activities of daily living like bathing, dressing, eating, or toileting but do not need intensive medical care.
Medicare open enrollment is just around the corner, and there will be major changes in 2025 that beneficiaries should keep in mind, and some of these changes may affect what plans people choose.
A new series of KFF state snapshots captures health care issues at the forefront of national, state, and local elections,
Starting September 30, Medicare changed the way it covers certain services that can reduce an individual’s risk of acquiring HIV. Previously, Pre-exposure Prophylaxis (PrEP) using antiretroviral drugs was covered under Part D and was subject to regular cost sharing. Now, FDA-approved PrEP using antiretroviral drugs and the administration of injectable PrEP are covered under Part B as a preventive service.