On March 8, 2016, the Centers for Medicare and Medicaid Services (CMS) released a memorandum entitled “Suspension of Policy Providing for Automatic Reduction of Star Ratings for Contracts Operating Under Intermediate Sanction.” Through … [Read more...] about CMS Policy Change Allows Windfall for Medicare Advantage Plans Under Sanction
Medicare Advantage
Kaiser Family Foundation Releases Reports on MA and Part D in 2016
In a report entitled “Medicare Part D: A First Look at Plan Offerings in 2016” (October 2015), the Kaiser Family Foundation analyzed the Part D market in 2016 and found, among other things, that: In 2016, beneficiaries in each … [Read more...] about Kaiser Family Foundation Releases Reports on MA and Part D in 2016
GAO Issues Report Concerning CMS Oversight of Medicare Advantage Provider Network Adequacy
This week, the General Accounting Office (GAO) issued a report entitled “Medicare Advantage: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy” (August 2015, publicly released September 28, 2015). This report … [Read more...] about GAO Issues Report Concerning CMS Oversight of Medicare Advantage Provider Network Adequacy
Case Study: Home Health Coverage and Medicare Advantage Plan Responsibilities
The Center for Medicare Advocacy received an e-mail inquiry from an individual requesting assistance advocating for her sister, Mrs. B. Mrs. B is a Medicare beneficiary enrolled in a Medicare Advantage plan and in need of home health … [Read more...] about Case Study: Home Health Coverage and Medicare Advantage Plan Responsibilities
Reports of Import – Trustees and Kaiser Family Foundation
Medicare Trustees Report – Medicare Part A Solvency Remains Stable On July 22, 2015, the Medicare and Social Security Trustees issued the 2015 Annual Report of the Boards of Trustees of the Federal Hospital Insurance Trust Fund and the … [Read more...] about Reports of Import – Trustees and Kaiser Family Foundation
Final 2016 CMS Call Letter for Medicare Parts C and D Released
Every year, the Centers for Medicare and Medicaid Services (CMS) issues payment, performance and other rules that apply to Medicare Advantage (MA) and Part D plans that choose to participate in the Medicare program in the following calendar year. … [Read more...] about Final 2016 CMS Call Letter for Medicare Parts C and D Released
Center for Medicare Advocacy Co-Authors Report Published by the Kaiser Family Foundation Comparing Consumer Protections in Major Health Plans
The Kaiser Family Foundation (KFF) has published a report entitled “Comparison of Consumer Protections in Three Health Insurance Markets: Medicare Advantage, Qualified Health Plans and Medicaid Managed Care Organizations.” The report is … [Read more...] about Center for Medicare Advocacy Co-Authors Report Published by the Kaiser Family Foundation Comparing Consumer Protections in Major Health Plans
Center for Medicare Advocacy Submits Comments to Draft 2016 Call Letter for Medicare Parts C and D
Every year, the Centers for Medicare and Medicaid Services (CMS) releases a draft of payment, performance and other rules that apply to Medicare Advantage (MA) and Part D plans that choose to participate in the Medicare program in the following … [Read more...] about Center for Medicare Advocacy Submits Comments to Draft 2016 Call Letter for Medicare Parts C and D
2016 Medicare Advantage (Part C) and Part D Final Rule Issued
On February 12, 2015, the Centers for Medicare and Medicaid Services (CMS) published final rules entitled “Medicare Program; Contract Year 2016 Policy and Technical Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit … [Read more...] about 2016 Medicare Advantage (Part C) and Part D Final Rule Issued
Rep. Rosa DeLauro and Sen. Richard Blumenthal Join National Teleconference to Support the Medicare Advantage Participant Bill of Rights
- New legislation would protect patients from being dropped by doctors without cause - Bill is also co-sponsored by Senator Sherrod Brown - More than 10,000 Americans recently urged Congress to support this legislation October 28, 2014 … [Read more...] about Rep. Rosa DeLauro and Sen. Richard Blumenthal Join National Teleconference to Support the Medicare Advantage Participant Bill of Rights