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
Medicare Advantage
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
Be A Hero Joins the Fight for a Strong Traditional Medicare Program
The Center for Medicare Advocacy is grateful to our colleague Ady Barkan for participating in our 10th annual National Voices of Medicare Summit. His Be a Hero organization is concerned about the various problems with, and costs of, private Medicare … [Read more...] about Be A Hero Joins the Fight for a Strong Traditional Medicare Program
CMS Issues Final Medicare Advantage Payment Rates for 2024 and Final Rule Addressing Prior Authorization, Marketing, and Other Issues
The Center for Medicare Advocacy has long-highlighted concerns relating to Medicare Advantage (MA) overpayments, as well as access to care issues, including MA plans’ widespread and inappropriate use of prior authorization and on-going denials. … [Read more...] about CMS Issues Final Medicare Advantage Payment Rates for 2024 and Final Rule Addressing Prior Authorization, Marketing, and Other Issues
Medicare Advantage: It’s Not “Over-reach” – It’s Fraud
A Message from the Executive DirectorThe New York Times recently published an article by Reed Abelson and Magot Sanger-Katz discussing the frenzied reaction of private Medicare Advantage plans to the Administration’s proposed changes to … [Read more...] about Medicare Advantage: It’s Not “Over-reach” – It’s Fraud
Medicare Advantage Under Increased Scrutiny Pending Final Payment and Oversight Rules
As documented in a recent series of CMA Alerts, the Centers for Medicare & Medicaid Services (CMS) has proposed long overdue steps to address Medicare Advantage (MA) overpayments and oversight, including restrictive prior authorization and … [Read more...] about Medicare Advantage Under Increased Scrutiny Pending Final Payment and Oversight Rules
Barriers to Care for Medicare Advantage Enrollees Highlighted even as Insurance Industry Continues Effort to Retain Their Overpayments
As the Center for Medicare Advocacy has outlined in recent CMA Alerts (including here, here and here), the Centers for Medicare & Medicaid Services (CMS) has recently taken long overdue steps to address Medicare Advantage (MA) overpayments and … [Read more...] about Barriers to Care for Medicare Advantage Enrollees Highlighted even as Insurance Industry Continues Effort to Retain Their Overpayments
New Campaign: Finalize Proposed MA Payment Changes & Crack Down on Waste and Abuse
This week, Action Network Initiative (ANI), a non-partisan advocacy network that supports the mission of Arnold Ventures to maximize opportunity and minimize injustice through evidence-based policy reform, will kick off an integrated campaign to … [Read more...] about New Campaign: Finalize Proposed MA Payment Changes & Crack Down on Waste and Abuse