As overpayments to MA plans receive increased attention, along with some of the barriers to accessing care faced by MA enrollees, such as inappropriate use of prior authorization, there is growing recognition among both policymakers and the public … [Read more...] about Growing Chorus to Protect and Expand Traditional Medicare
Medicare Advantage
Policymakers Must Address Medicare Advantage Abuses
As highlighted last week in our CMA Alert, on July 27 the Center for Medicare Advocacy joined Be A Hero, Members of Congress, beneficiaries, and other advocates, at a rally at the U.S Capitol to underscore the harm Medicare Advantage (MA) is … [Read more...] about Policymakers Must Address Medicare Advantage Abuses
Highlighting the Harms of Medicare Advantage: Advocates and Members of Congress Rally to Support Real Medicare
On July 25, the Center for Medicare Advocacy joined other advocates and members of Congress at a rally and press conference in Washington, DC highlighting harm caused by private Medicare Advantage plans, including wrongful delays and denials of care. … [Read more...] about Highlighting the Harms of Medicare Advantage: Advocates and Members of Congress Rally to Support Real Medicare
Media Advisory: Medicare Advantage Patients and Families Join Members of Congress to Call for an End to Wrongful Delays and Denials
For Immediate Release:7/20/23Contacts: Claire Sandberg, claire@beaherofund.com, 646-641-6431Linda Benesch, lbenesch@socialsecurityworks.org, 240-342-4301 Media Advisory: Medicare Advantage Patients and Families Join Members of Congress to … [Read more...] about Media Advisory: Medicare Advantage Patients and Families Join Members of Congress to Call for an End to Wrongful Delays and Denials
Ongoing Scrutiny of Medicare Advantage Plans
At a time when Medicare Advantage (MA) enrollment has surpassed 50% of the Medicare population, overpayments to MA plans now exceed $75 billion annually (see, e.g., CMA Alert, June 22, 2023) and access to care problems, including inappropriate use of … [Read more...] about Ongoing Scrutiny of Medicare Advantage Plans
New Research Outlines Extent of Medicare Advantage Overpayments: It’s Much Worse Than We Thought
On June 13, 2023, the USC Schaeffer Center for Health Policy & Economics published a white paper titled “Medicare Advantage Enrolls Lower-Spending People, Leading to Large Overpayments” by Steven M. Lieberman, Samuel Valdez, PhD and Paul … [Read more...] about New Research Outlines Extent of Medicare Advantage Overpayments: It’s Much Worse Than We Thought
CMS Report Highlights Quality of Care Concerns in MA
A recent report released by the Centers for Medicare & Medicaid Services (CMS) Office of Minority Health, Disparities in Health Care in Medicare Advantage Associated with Dual Eligibility or Eligibility for a Low-Income Subsidy and Disability, … [Read more...] about CMS Report Highlights Quality of Care Concerns in MA
Senate Committee Holds Hearing re: Medicare Advantage Denials and Delays in Care
On May 17, 2023, the Senate Homeland Security & Governmental Affairs Committee, Permanent Subcommittee on Investigations chaired by Senator Richard Blumenthal (CT) held a hearing titled “Examining Health Care Denials and Delays in Medicare … [Read more...] about Senate Committee Holds Hearing re: Medicare Advantage Denials and Delays in Care
Medicare Advantage Enrollment Passes 50%: Much More Oversight and Accountability Is Needed
On May 1, 2023, KFF (formerly Kaiser Family Foundation) issued a report stating that Medicare Advantage (MA) now provides Medicare coverage for just over half of eligible beneficiaries. As outlined in recent CMA Alerts (including this one), … [Read more...] about Medicare Advantage Enrollment Passes 50%: Much More Oversight and Accountability Is Needed
Special Report | Recent Medicare Advantage (MA) and Part D Rule – Important Consumer Protections re: MA Prior Authorization and Marketing
On April 12, 2023, the Centers for Medicare and Medicaid Services (CMS) published a final rule for 2024 regarding Medicare Advantage (MA) and Part D. The final rule is available in the Federal Register at 88 Fed Reg 22120 (April 12, 2023) here, … [Read more...] about Special Report | Recent Medicare Advantage (MA) and Part D Rule – Important Consumer Protections re: MA Prior Authorization and Marketing