MA OverpaymentAs discussed in a recent CMA Alert (Feb. 22, 2024), the Centers for Medicare & Medicaid Services (CMS) has issued proposed MA payment rates for 2025 (“Rate Notice”), which will be finalized by April 1, 2024. As described … [Read more...] about Medicare Program Cannot Afford Medicare Advantage “Stability” – Especially as New Study Shows Inferior Home Health Care Provided by MA Plans
Medicare Advantage
Medicare Advantage Plans Under Scrutiny by Department of Justice and Office of Inspector General
As discussed in a recent CMA Alert (Feb. 22, 2024), the Centers for Medicare & Medicaid Services (CMS) has issued proposed Medicare Advantage (MA) and Part D payment rates for 2025, comments to which are due March 1, 2024. MA plans are … [Read more...] about Medicare Advantage Plans Under Scrutiny by Department of Justice and Office of Inspector General
Medicare Advantage Proposed Payment for 2025 and Other Updates
The Centers for Medicare & Medicaid Services (CMS) has issued proposed Medicare Advantage (MA) and Part D payment rates for 2025. As discussed below, the insurance industry is already trying to pressure the agency to increase their payment in … [Read more...] about Medicare Advantage Proposed Payment for 2025 and Other Updates
Medicare Program Proposes to Increase Medicare Advantage Payment for 2025
On January 31, the Centers for Medicare & Medicaid Services (CMS) released an Advance Rate Notice proposing an overall pay increase to MA plans of 3.7% in 2025 (see CMS fact sheet here). According to CMS, “This is over a $16 billion increase in … [Read more...] about Medicare Program Proposes to Increase Medicare Advantage Payment for 2025
As Medicare Advantage Enrollment Grows, So Does Awareness of Problems
In an effort to foster informed decision-making by Medicare beneficiaries about their coverage options, the Center for Medicare Advocacy has long tried to highlight the trade-offs of enrolling in Medicare Advantage (MA) plans. In the past, … [Read more...] about As Medicare Advantage Enrollment Grows, So Does Awareness of Problems
Medicare Advantage Industry Support Letter Circulating in Senate – Center for Medicare Advocacy Urges Senators Not to Sign On
Medicare Advantage (MA) payment rates for the coming year are released early in the prior year. As of this writing, the proposed 2025 rates are imminent. As noted in previous CMA Alerts (see, e.g., this one from 2020), release of this information … [Read more...] about Medicare Advantage Industry Support Letter Circulating in Senate – Center for Medicare Advocacy Urges Senators Not to Sign On
Advocacy Tip for Medicare Advantage Enrollees Facing Difficulty Obtaining In-Network Care
In order to manage costs, Medicare Advantage (MA) plans are able to restrict their enrollees to a contracted network of health care providers that is “sufficient to provide access to covered services to meet the needs of the population served.”* Some … [Read more...] about Advocacy Tip for Medicare Advantage Enrollees Facing Difficulty Obtaining In-Network Care
Center for Medicare Advocacy Submits Comment on Proposed 2025 Medicare Advantage and Part D Rule
On January 5, 2024, the Center submitted comments to a proposed rule for Medicare Advantage (MA) and Part D issued by the Centers for Medicare & Medicaid Services (CMS) titled: Medicare Program; Contract Year 2025 Policy and Technical Changes to … [Read more...] about Center for Medicare Advocacy Submits Comment on Proposed 2025 Medicare Advantage and Part D Rule
Improving Medicare by Reining in Medicare Advantage Overpayments: Policy Options
Building on several recent studies that have found massive overpayments to Medicare Advantage (MA) plans, the Center for Medicare Advocacy released a report outlining how policymakers can look to utilize cost savings by reining in overpayments to … [Read more...] about Improving Medicare by Reining in Medicare Advantage Overpayments: Policy Options
Insurance Industry Group Issues Misleading Medicare Advantage Report
Report Suggests Medicare Could Save Money by Providing as Little Care as Private Medicare Advantage Plans Do, While Ignoring the Harm to Beneficiaries, Overpayments to the Private Plans, and Damage to Medicare’s SolvencyOn November 24, 2023, the … [Read more...] about Insurance Industry Group Issues Misleading Medicare Advantage Report