Center for Medicare Advocacy

Advancing Access to Medicare and Healthcare

Medicare Advantage

STAT News Report Further Exposes Medicare Advantage Misconduct Concerning Prior Authorization Using Restrictive Algorithmic Tools

The latest in a series of articles, STAT News recently issued a report titled “UnitedHealth pushed employees to follow an algorithm to cut off Medicare patients’ rehab care” by Casey Ross and Bob Herman (Nov. 14, 2023).  The report found that ‘[t]he … [Read more...] about STAT News Report Further Exposes Medicare Advantage Misconduct Concerning Prior Authorization Using Restrictive Algorithmic Tools

Senate Finance Committee Holds Hearing on Medicare Advantage Marketing Misconduct

On October 18, 2023, the Senate Finance Committee held a hearing entitled “Medicare Advantage Annual Enrollment: Cracking Down on Deceptive Practices and Improving Senior Experiences” – a recording of the hearing, along with Member Statements by … [Read more...] about Senate Finance Committee Holds Hearing on Medicare Advantage Marketing Misconduct

Counterweight to Medicare Advantage Marketing Still Needed

As the Center for Medicare Advocacy (the Center) has highlighted in past years, during the Medicare Annual Election Period (AEP), when individuals can enroll in traditional Medicare and change or disenroll from Medicare Advantage (MA) and Part D … [Read more...] about Counterweight to Medicare Advantage Marketing Still Needed

New Study – Medicare Advantage Overpayments as High as $140 Billion a Year

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

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

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

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