People who choose Medicare Advantage (MA) face additional hurdles during the initial enrollment and annual plan selection processes. The MA plan choice landscape is cluttered, complicated, and confusing. Other MA features, like prior authorization, narrow provider networks, and predatory plan marketing, can worsen decision-making and access problems. It is also expensive. MA costs more, both overall and per enrollee, than Original Medicare. This drives up spending for the program, beneficiaries, and taxpayers; though little is known about how plans are using these dollars, or about overall plan quality. As MA enrollment grows, addressing its financing flaws and programmatic pitfalls becomes ever-more important. We support comprehensive reforms to ensure all beneficiaries can rely on their earned Medicare coverage.
When the Centers for Medicare & Medicaid Services (CMS) pays Medicare Advantage (MA) organizations, they increase the payments when plans
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
The Medicare Rights Center’s policy series, Medicare Advantage 101, covers the history of and issues within Medicare Advantage (MA), including overpayments to
In its annual data book on “Health Care Spending and the Medicare Program,” the Medicare Payment Advisory Commission (MedPAC) shows
This week 59 years ago, President Lyndon B. Johnson signed Medicare and Medicaid into law, improving access to care and
Consolidation and market concentration impact many aspects of the U.S. health care system. Our response to the RFI focuses on the consequences for Medicare and its enrollees. We discuss opportunities for policymakers to better protect older adults, people with disabilities, and the range of public programs that support their access to care.
Yesterday, the Medicare Rights Center submitted comments in response to a Centers for Medicare & Medicaid Services (CMS) Request for
Prior authorization is one of the processes Medicare Advantage and other private insurance companies use to manage health care utilization
It is evident Medicare Advantage (MA) enrollment and costs are growing, that access issues abound, and that transparency is long overdue. To ensure MA works well for those it is supposed to serve, the Medicare Rights Center urges the immediate and thorough collection and publication of additional data on (I) Equity, (II) Provider Directories and Networks, (III) Marketing, (IV) Utilization Management and Appeals, (V) Supplemental Benefits, (VI) Dually Eligible Individuals and D-SNPs, and (VII) Favorable Selection and Risk Adjustment. This information should be granular, regularly reported, and used to guide MA and program-wide improvements. CMS must finally hold plans accountable for the public dollars they use and the promises they make.
When the Centers for Medicare & Medicaid Services (CMS) pays Medicare Advantage (MA) organizations, they increase the payments when plans
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
The Medicare Rights Center’s policy series, Medicare Advantage 101, covers the history of and issues within Medicare Advantage (MA), including overpayments to
In its annual data book on “Health Care Spending and the Medicare Program,” the Medicare Payment Advisory Commission (MedPAC) shows
This week 59 years ago, President Lyndon B. Johnson signed Medicare and Medicaid into law, improving access to care and
Consolidation and market concentration impact many aspects of the U.S. health care system. Our response to the RFI focuses on the consequences for Medicare and its enrollees. We discuss opportunities for policymakers to better protect older adults, people with disabilities, and the range of public programs that support their access to care.
Yesterday, the Medicare Rights Center submitted comments in response to a Centers for Medicare & Medicaid Services (CMS) Request for
Prior authorization is one of the processes Medicare Advantage and other private insurance companies use to manage health care utilization
It is evident Medicare Advantage (MA) enrollment and costs are growing, that access issues abound, and that transparency is long overdue. To ensure MA works well for those it is supposed to serve, the Medicare Rights Center urges the immediate and thorough collection and publication of additional data on (I) Equity, (II) Provider Directories and Networks, (III) Marketing, (IV) Utilization Management and Appeals, (V) Supplemental Benefits, (VI) Dually Eligible Individuals and D-SNPs, and (VII) Favorable Selection and Risk Adjustment. This information should be granular, regularly reported, and used to guide MA and program-wide improvements. CMS must finally hold plans accountable for the public dollars they use and the promises they make.
