In advance of the upcoming Medicare Annual Enrollment Period (AEP) from October 15 through December 7, the period during which beneficiaries can make changes to Medicare Advantage (MA) and Part D coverage for the following year, the Centers for … [Read more...] about Medicare Advantage Industry Blames 2025 Service Cut-Backs on Policy Changes That Hold Them More Accountable
Medicare Advantage
In a Medicare Advantage Plan?
Double-Check that Your Providers Are, and Will Be, In-Network for 2025A recent HealthLeaders article titled “Providers Are Fed Up With Medicare Advantage” by Marie Defreitas (Sept. 9, 2024) begins: “[a]cross the country, more providers are opting … [Read more...] about In a Medicare Advantage Plan?
Medicare Advantage Needs More Oversight, Less Overpayment
Last week’s CMA Alert (Aug. 29, 2024) discussed the insurance industry’s launch of a campaign to convince policymakers that Medicare Advantage (MA) plans need more money and less regulation. While the industry is trying to convince lawmakers and … [Read more...] about Medicare Advantage Needs More Oversight, Less Overpayment
Medicare Advantage Industry Launches Campaign to Protect Profits and Avoid Oversight
With Medicare’s Annual Enrollment Period fast approaching, the time during which beneficiaries can make changes to their Medicare Advantage (MA) and Part D coverage for the following calendar year, the public will soon learn about plan changes for … [Read more...] about Medicare Advantage Industry Launches Campaign to Protect Profits and Avoid Oversight
Medicare Advantage Plans Propose Cuts While Continuing to Maximize Overpayments
With the Medicare Annual Enrollment Period on the horizon (starting October 15th), Medicare Advantage plans are beginning to announce some of the changes they are implementing for 2025. Changes include benefit and service area reductions, which … [Read more...] about Medicare Advantage Plans Propose Cuts While Continuing to Maximize Overpayments
Ongoing Medicare Advantage Network Challenges
In the Center for Medicare Advocacy’s recent “Special Report: The Real Impact of Medicare Advantage for Beneficiaries and Medicare Funding” (July 18, 2024), we highlighted how the Medicare Advantage (MA) program is costing significantly more than … [Read more...] about Ongoing Medicare Advantage Network Challenges
Special Report | The Real Impact of Medicare Advantage for Beneficiaries and Medicare Funding
At a time when over half of all Medicare beneficiaries are enrolled in Medicare Advantage (MA) plans, the MA program is costing significantly more than what traditional Medicare spends on a given beneficiary, adding stress to Medicare’s finances. As … [Read more...] about Special Report | The Real Impact of Medicare Advantage for Beneficiaries and Medicare Funding
Lawsuits Attack Protections Against Improper Medicare Marketing Tactics
Many beneficiaries rely on insurance agents and brokers to compare and select Medicare coverage options, but agents and brokers may not always act in the best interests of the individuals they advise and enroll. In April 2024, the Centers for … [Read more...] about Lawsuits Attack Protections Against Improper Medicare Marketing Tactics
Medicare Advantage & Medicaid Updates
Medicare Advantage Updates1. New York Times Article Highlights Problems with Medicare Advantage Prior AuthorizationA recent New York Times article titled “When ‘Prior Authorization’ Becomes a Medical Roadblock” by Paula Span (May 25, 2024), … [Read more...] about Medicare Advantage & Medicaid Updates
Center Submits Medicare Advantage Comments to CMS along with Sign-on Letter Joined by 88 Organizations
Yesterday, The Center for Medicare Advocacy submitted comments in response to the CMS RFI on Medicare Advantage Data. The comments called on CMS to collect and make publicly available Medicare Advantage data where there are current gaps, such … [Read more...] about Center Submits Medicare Advantage Comments to CMS along with Sign-on Letter Joined by 88 Organizations