On October 4, 2023, Physicians for a National Health Program (PNHP) released a report titled “Our Payments Their Profits”, showing that insurance companies offering Medicare Advantage (MA) plans are overpaid by up to $140 billion a year by … [Read more...] about New Study – Medicare Advantage Overpayments as High as $140 Billion a Year
Medicare Advantage
Look Before You Leap: Medicare Annual Enrollment Period Approaches
Studies Highlight Marketing Concerns and Pitfalls of Navigating Enrollment ChoicesMedicare Advantage (MA) and Part D plans can start marketing their product offerings for the 2024 plan year starting October 1, in advance of the Medicare Annual … [Read more...] about Look Before You Leap: Medicare Annual Enrollment Period Approaches
News Release | Medicare Announces First 10 Drugs Subject to Price Negotiation
Major Step on the Road to Reducing Drug CostsFor Immediate Release:August 29, 2023Washington, DC: Today, the Medicare program announced the first ten drugs selected for price negotiations under new authority given to the Secretary of Health … [Read more...] about News Release | Medicare Announces First 10 Drugs Subject to Price Negotiation
Medicare Advantage Plans Receive Bloated Bonus Payments with Little to Show for It
The Kaiser Family Foundation (KFF) recently released a report titled “Spending on Medicare Advantage Quality Bonus Payments Will Reach at Least $12.8 Billion in 2023” by Jeannie Fuglesten Biniek, Anthony Damico, and Tricia Neuman (August 9, 2023); … [Read more...] about Medicare Advantage Plans Receive Bloated Bonus Payments with Little to Show for It
Growing Chorus to Protect and Expand Traditional Medicare
As overpayments to MA plans receive increased attention, along with some of the barriers to accessing care faced by MA enrollees, such as inappropriate use of prior authorization, there is growing recognition among both policymakers and the public … [Read more...] about Growing Chorus to Protect and Expand Traditional Medicare
Policymakers Must Address Medicare Advantage Abuses
As highlighted last week in our CMA Alert, on July 27 the Center for Medicare Advocacy joined Be A Hero, Members of Congress, beneficiaries, and other advocates, at a rally at the U.S Capitol to underscore the harm Medicare Advantage (MA) is … [Read more...] about Policymakers Must Address Medicare Advantage Abuses
Highlighting the Harms of Medicare Advantage: Advocates and Members of Congress Rally to Support Real Medicare
On July 25, the Center for Medicare Advocacy joined other advocates and members of Congress at a rally and press conference in Washington, DC highlighting harm caused by private Medicare Advantage plans, including wrongful delays and denials of care. … [Read more...] about Highlighting the Harms of Medicare Advantage: Advocates and Members of Congress Rally to Support Real Medicare
Media Advisory: Medicare Advantage Patients and Families Join Members of Congress to Call for an End to Wrongful Delays and Denials
For Immediate Release:7/20/23Contacts: Claire Sandberg, claire@beaherofund.com, 646-641-6431Linda Benesch, lbenesch@socialsecurityworks.org, 240-342-4301Media Advisory: Medicare Advantage Patients and Families Join Members of Congress to … [Read more...] about Media Advisory: Medicare Advantage Patients and Families Join Members of Congress to Call for an End to Wrongful Delays and Denials
Ongoing Scrutiny of Medicare Advantage Plans
At a time when Medicare Advantage (MA) enrollment has surpassed 50% of the Medicare population, overpayments to MA plans now exceed $75 billion annually (see, e.g., CMA Alert, June 22, 2023) and access to care problems, including inappropriate use of … [Read more...] about Ongoing Scrutiny of Medicare Advantage Plans
New Research Outlines Extent of Medicare Advantage Overpayments: It’s Much Worse Than We Thought
On June 13, 2023, the USC Schaeffer Center for Health Policy & Economics published a white paper titled “Medicare Advantage Enrolls Lower-Spending People, Leading to Large Overpayments” by Steven M. Lieberman, Samuel Valdez, PhD and Paul … [Read more...] about New Research Outlines Extent of Medicare Advantage Overpayments: It’s Much Worse Than We Thought