A Message from the Executive Director The New York Times recently published an article by Reed Abelson and Magot Sanger-Katz discussing the frenzied reaction of private Medicare Advantage plans to the Administration’s proposed changes to … [Read more...] about Medicare Advantage: It’s Not “Over-reach” – It’s Fraud
Medicare Advantage
Medicare Advantage Under Increased Scrutiny Pending Final Payment and Oversight Rules
As documented in a recent series of CMA Alerts, the Centers for Medicare & Medicaid Services (CMS) has proposed long overdue steps to address Medicare Advantage (MA) overpayments and oversight, including restrictive prior authorization and … [Read more...] about Medicare Advantage Under Increased Scrutiny Pending Final Payment and Oversight Rules
Barriers to Care for Medicare Advantage Enrollees Highlighted even as Insurance Industry Continues Effort to Retain Their Overpayments
As the Center for Medicare Advocacy has outlined in recent CMA Alerts (including here, here and here), the Centers for Medicare & Medicaid Services (CMS) has recently taken long overdue steps to address Medicare Advantage (MA) overpayments and … [Read more...] about Barriers to Care for Medicare Advantage Enrollees Highlighted even as Insurance Industry Continues Effort to Retain Their Overpayments
New Campaign: Finalize Proposed MA Payment Changes & Crack Down on Waste and Abuse
This week, Action Network Initiative (ANI), a non-partisan advocacy network that supports the mission of Arnold Ventures to maximize opportunity and minimize injustice through evidence-based policy reform, will kick off an integrated campaign to … [Read more...] about New Campaign: Finalize Proposed MA Payment Changes & Crack Down on Waste and Abuse
Medicare Advantage Industry Continues to Fight Minor, Overdue Course Corrections
The Centers for Medicare & Medicaid Services (CMS) has recently taken long overdue steps to address Medicare Advantage (MA) overpayments and oversight, including restrictive prior authorization and marketing misconduct. While we applaud these … [Read more...] about Medicare Advantage Industry Continues to Fight Minor, Overdue Course Corrections
Medicare Advantage Industry Continues to Mislead Public to Protect Their Overpayments
As discussed in a recent CMA Alert “Insurance Industry Response to Proposed Medicare Advantage Payment for 2024” (Feb. 16, 2023), the Centers for Medicare & Medicaid Services (CMS) recently released proposed Medicare Advantage (MA) payment … [Read more...] about Medicare Advantage Industry Continues to Mislead Public to Protect Their Overpayments
70 Members of Congress Call for Medicare Advantage Reforms, Including Reining in Overpayments
On February 16, 2023, Representatives Pramila Jayapal (WA-07), Rosa DeLauro (CT-03), and Jan Schakowsky (IL-09) led a letter of 70 members of the U.S. House of Representatives calling on the Centers for Medicare & Medicaid Services (CMS) to … [Read more...] about 70 Members of Congress Call for Medicare Advantage Reforms, Including Reining in Overpayments
Center for Medicare Advocacy Comments on Proposed Part C & D Rule
As noted in this December 2022 CMA Alert, CMS released a proposed rule for Medicare Advantage and Part D for 2024 available here (87 Fed Register 79452, December 27, 2022). CMS also published a press release and accompanying fact sheet … [Read more...] about Center for Medicare Advocacy Comments on Proposed Part C & D Rule
Insurance Industry Response to Proposed Medicare Advantage Payment for 2024
“Our Profits are The Sky is Falling!” This is the time of year – between the Centers for Medicare & Medicaid Services’ (CMS) release of proposed Medicare Advantage (MA) payment rates for the following year and the finalization of these … [Read more...] about Insurance Industry Response to Proposed Medicare Advantage Payment for 2024
Traditional Medicare or Medicare Advantage?
A Case Study in Favor of Traditional Medicare “Should I choose traditional Medicare with a supplement plan or a Medicare Advantage plan?” This is a question Center for Medicare Advocacy (Center) attorneys and advocates hear increasingly often. … [Read more...] about Traditional Medicare or Medicare Advantage?