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
Medicare Advantage
Medicare Advantage Focus: Drawbacks During Annual Enrollment Period
As Medicare’s annual enrollment period proceeds through December 7th, during which beneficiaries can make changes to their Medicare Advantage (MA) and/or Part D coverage, Medicare beneficiaries continue to be bombarded with advertisements and sales … [Read more...] about Medicare Advantage Focus: Drawbacks During Annual Enrollment Period
Center Testimony for Senate Hearing on MA Marketing
Submitted Written Testimony from the Center for Medicare Advocacy re: Senate Finance Committee Hearing: “Medicare Advantage Annual Enrollment: Cracking Down on Deceptive Practices and Improving Senior Experiences”(Hearing Held on October 18, … [Read more...] about Center Testimony for Senate Hearing on MA Marketing
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
Connecticut Medicare Advantage Plans Announce Changes for 2024
Patterns Likely to be Similar Nationwide The Connecticut SHIP program, known as CHOICES, recently hosted an event showcasing the offerings of Connecticut Medicare Advantage (MA) plans for CHOICES counselors and other stakeholders. Representatives … [Read more...] about Connecticut Medicare Advantage Plans Announce Changes for 2024
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
News Release | Medicare Announces First 10 Drugs Subject to Price Negotiation
Major Step on the Road to Reducing Drug Costs For Immediate Release:August 29, 2023 Washington, 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