Part C of the Medicare program, also known as Medicare Advantage (MA), is an option available to Medicare beneficiaries who wish to receive their benefits through private insurance companies, primarily HMOs. In 2017, more than 19 million … [Read more...] about Tipping the Scales Toward Medicare Advantage
Medicare Advantage
Center for Medicare Advocacy Submits Comments to CMS’ Draft 2019 Call Letter for Medicare Advantage and Part D
On February 1, 2018, the Centers for Medicare & Medicaid Services (CMS) issued its draft 2019 Call Letter, an annual set of proposed rules, guidelines and clarifications for Part C Medicare Advantage (MA) and Part D plans that wish to participate … [Read more...] about Center for Medicare Advocacy Submits Comments to CMS’ Draft 2019 Call Letter for Medicare Advantage and Part D
JAMA Calls for Release of Medicare Advantage Data – A Full Review of MA is Long Overdue
The Journal of the American Medical Association (JAMA), recently published a Viewpoint article entitled “Time to Release Medicare Advantage Claims Data” by Niall Brennan, Charles Ornstein, and Austin B. Frakt … [Read more...] about JAMA Calls for Release of Medicare Advantage Data – A Full Review of MA is Long Overdue
Medicare Advantage Enrollees Have Fewer SNF Options than Traditional Medicare Beneficiaries
“Medicare Advantage Enrollees More Likely to Enter Lower-Quality Nursing Homes Compared to Fee-For-Service Enrollees,” a report recently published by Health Affairs, examines the quality of skilled nursing facilities (SNFs) used by … [Read more...] about Medicare Advantage Enrollees Have Fewer SNF Options than Traditional Medicare Beneficiaries
Alert – Tax Cut Harm Just Got Worse; This Week in Sabotage; CMS Pushing MA Plans; SNF Deregulation
Tax Cut Bill Just Got Worse. Health Care at Risk. This Week in Sabotage CMS Steering to Medicare Advantage Administration And Nursing Home Industry: Lockstep in Deregulating Nursing Facilities & Reducing Resident ProtectionsTax Cut … [Read more...] about Alert – Tax Cut Harm Just Got Worse; This Week in Sabotage; CMS Pushing MA Plans; SNF Deregulation
CMA Alert – Remember You CAN Choose Original Medicare; Equitable Relief; This Week’s Sabotage News
You Can Choose Original Medicare: CMS Over-Emphasizes Private Medicare Advantage Plans in Open Enrollment Roll-Out CMS Extends Equitable Relief CMA Joins 30 Organizations in Amicus Brief in Support of Court Challenge to Trump ACA … [Read more...] about CMA Alert – Remember You CAN Choose Original Medicare; Equitable Relief; This Week’s Sabotage News
CMA Alert – Critical Issue Roundup: MA Overpayment; HH Payment; Observation; More
Former CMS Administrator Comments on Medicare Advantage Overpayments Proposed Home Health Rules – Payments Drive Delivery of Care, Harming Beneficiaries Observation Status Harms Low-Income Medicare Beneficiaries Poll: Americans Favor … [Read more...] about CMA Alert – Critical Issue Roundup: MA Overpayment; HH Payment; Observation; More
Center Urges CMS to Preserve and Strengthen Consumer Protections in Medicare Advantage and Part D
As noted in a previous Alert, the Center for Medicare & Medicaid Services (CMS) recently finalized their 2018 Call Letter. In the same document, CMS issued a Request for Information regarding ideas for “regulatory, sub-regulatory, … [Read more...] about Center Urges CMS to Preserve and Strengthen Consumer Protections in Medicare Advantage and Part D
Center Comments on Medicare Advantage and Part D “Transformation Ideas”
April 24, 2017VIA ELECTRONIC SUBMISSION PartCDcomments@cms.hhs.govSeema Verma, Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Baltimore, MD 21244Re: … [Read more...] about Center Comments on Medicare Advantage and Part D “Transformation Ideas”
Insurer Reaches Agreement with Provider Network – After Frightening Medicare Advantage Enrollees
Last month in Connecticut, United Healthcare (UHC) set off a panic among its Medicare Advantage (MA) enrollees by sending out letters indicating that they would no longer be affiliated with Hartford HealthCare HHC), one of Connecticut’s largest … [Read more...] about Insurer Reaches Agreement with Provider Network – After Frightening Medicare Advantage Enrollees