The Centers for Medicare & Medicaid Services (CMS) released the latest enrollment figures for Medicare on January 5th. As of March 2023, 65,748,297 people are enrolled in Medicare, an increase of almost 100,000 since the last report in September. … [Read more...] about Medicare Enrollment Numbers
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KFF: Increased Numbers of Deficiencies Cited at Nursing Facilities May Reflect Insufficient Staffing
In “A Look at Nursing Facility Characteristics Between 2015 and 2023,” KFF reports that between 2015 and 2023, the hours of nursing care provided to residents in nursing facilities declined by 9% (from 4.13 hours per resident day (HPRD) in 2015 to … [Read more...] about KFF: Increased Numbers of Deficiencies Cited at Nursing Facilities May Reflect Insufficient Staffing
Issue Brief 82 | November 2023 – New report on Medicare Advantage Overpayments & Other Issues
I. NEW REPORT ON MEDICARE ADVANTAGE OVERPAYMENTS 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 … [Read more...] about Issue Brief 82 | November 2023 – New report on Medicare Advantage Overpayments & Other Issues
Report: Medicare Satisfaction is High, But those Under 65 Have More Difficulties
A recent KFF report, “Overall Satisfaction with Medicare is High, But Beneficiaries Under Age 65 With Disabilities Experience More Insurance Problems Than Older Beneficiaries,” found that Medicare beneficiaries are overwhelmingly satisfied with the … [Read more...] about Report: Medicare Satisfaction is High, But those Under 65 Have More Difficulties
Look Before You Leap: Medicare Annual Enrollment Period Approaches
Studies Highlight Marketing Concerns and Pitfalls of Navigating Enrollment Choices Medicare 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
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
Medicare Advantage Enrollment Passes 50%: Much More Oversight and Accountability Is Needed
On May 1, 2023, KFF (formerly Kaiser Family Foundation) issued a report stating that Medicare Advantage (MA) now provides Medicare coverage for just over half of eligible beneficiaries. As outlined in recent CMA Alerts (including this one), … [Read more...] about Medicare Advantage Enrollment Passes 50%: Much More Oversight and Accountability Is Needed
Medicare Advantage Round-Up
On December 7, the Medicare Annual Coordinated Election Period (AEP) ended. This is the period during which individuals with Medicare can make coverage choices for the coming year. One thing that sets this AEP apart from prior years’ is that we … [Read more...] about Medicare Advantage Round-Up
Senate Report Highlights Widespread Medicare Advantage Marketing Misconduct – But the Driving Forces of Misconduct Are Broader
After the Centers for Medicare & Medicaid Services (CMS) reported earlier this year that Medicare beneficiary complaints about Medicare Advantage (MA) marketing more than doubled between 2020 and 2021, the Senate Finance Committee launched an … [Read more...] about Senate Report Highlights Widespread Medicare Advantage Marketing Misconduct – But the Driving Forces of Misconduct Are Broader
Special Report | Recent Articles and Reports Shed Light on Medicare Advantage Issues
News You Won’t Hear from Private Plans During Enrollment Season Introduction/Overview The Medicare Annual Election Period (AEP) is a time during which people can change the way they receive their Medicare coverage – through traditional Medicare … [Read more...] about Special Report | Recent Articles and Reports Shed Light on Medicare Advantage Issues