Topic: Medicare Advantage

Medicare Vs. Medicare Advantage: How To Choose

The Center for Medicare Advocacy recently summarized the pros and cons of Medicare Advantage plans.

CMA Alert – Critical Issue Roundup: MA Overpayment; HH Payment; Observation; More

CMA Alert - Former CMS Administrator Comments on Medicare Advantage Overpayments; Proposed Home Health Rules – Payments Drive Delivery of Care, Harming Beneficiaries; Observation Status Harms Low-Income Medicare Beneficiaries; Poll: Americans Favor Making the ACA Work

Center Urges CMS to Preserve and Strengthen Consumer Protections in Medicare Advantage and Part D

We are deeply concerned by ongoing improper payments to MA plans and CMS’ lack of progress in recouping previous payments and deterring future misconduct.

Center Comments on Medicare Advantage and Part D “Transformation Ideas”

While we recognize CMS’ stated intention to maintain benefit flexibility and efficiency throughout the MA and Part D programs, we stress that CMS’ focus should not be on rolling back regulations, reducing oversight or minimizing plan sponsor burdens.

Center Comments on Medicare Advantage and Part D “Transformation Ideas”

While we recognize CMS’ stated intention to maintain benefit flexibility and efficiency throughout the MA and Part D programs, we stress that CMS’ focus should not be on rolling back regulations, reducing oversight or minimizing plan sponsor burdens.

Insurer Reaches Agreement with Provider Network – After Frightening Medicare Advantage Enrollees

Last month in Connecticut, United Healthcare (UHC) set off a panic among its Medicare Advantage (MA) enrollees by sending out letters indicating that they would no longer be affiliated with Hartford HealthCare HHC), one of Connecticut’s largest provider networks.

CMS Releases Final 2018 Call Letter: Too Little for Consumers

While the Call Letter addresses a range of issues, this Alert touches only on Medicare Advantage payment rates, certain issues that were not addressed in either the draft or final Call Letter, and an additional request for information issued by CMS.

Center Comments on Draft 2018 Medicare Advantage Call Letter

Despite much attention given to the annual rate notice concerning MA payment, though, we urge CMS to direct more attention to protecting public funds by ensuring that such payment is accurate.  MA “upcoding” – when an MA plan inappropriately reports an enrollee as being more sick than they actually are in order to obtain a higher risk-adjusted payment from the Medicare program – remains an ongoing  problem that policymakers must address. 

What Would Work Better for You? Deciding Between Traditional Medicare and a Medicare Advantage Plan

In last week’s Alert, we posed 10 questions to ask before deciding between traditional Medicare and a Medicare Advantage Plan. This week we discuss what your answers may mean.

10 Questions to Ask Before Deciding Between Traditional Medicare and a Medicare Advantage Plan

10 Questions to Ask Before Deciding Between Traditional Medicare and a Medicare Advantage Plan

CMS Suspends New Applications for MA “Seamless Conversion” Enrollment

The Center applauds CMS’ decision to both impose a moratorium on approving plans and issue information concerning what plans have already been approved. Absent rescinding the authority of plans to conduct seamless conversion enrollment altogether, we urge CMS to incorporate much stronger consumer protections.

The Center’s Long-Time Concerns Gain Attention

Prescription Drug Pricing and Medicare Advantage Overpayments

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