Some state officials want more regulatory authority over Medicare Advantage plans. Right now, state regulators can't impose sanctions on Medicare Advantage plans; only the Centers for Medicare & Medicaid Services has that power.
Medicare spending will slow down over the next decade--and although this bodes well for the federal budget it could also slow down Medicare reform, notes a post in the Morning Consult.
Republicans claim the Obama administration is "masking" Medicare Advatage cuts now to avoid making voters angry in an election year, according to The Hill.
If Medicare Advantage plans had to compete for members like plans sold on the health insurance exchanges, insurers could provide high value at lower costs, reported the New York Times.
As health insurers' provider networks get more narrow, many states are adopting standards to ease consumer concerns about limited selections of doctors and hospitals, reports The New York Times.
Insurers in Medicare Advantage and Part D should evaluate their practices and relationships with pharmacy benefit managers to ensure better quality and member experience.
The Centers for Medicare & Medicaid Services wants to establish a formal process that allows it to use a payment offset system to handle disputes with Medicare Advantage insurers about potential payment errors.
New developments in data architecture, storage and analysis are helping the Centers for Medicare & Medicaid Services make better use of data to transform the healthcare system, according to a new Health Affairs article.
What's in store for insurers offering Medicare Advantage plans? They can expect more competition and less reimbursement. With more competition comes the need for insurers to keep operating costs low while maintaining compliance with regulations, said Robert Tracy (pictured), senior business director of government products at Independent Health.
While the Medicare program continues to change and evolve, the Medicare Payment Advisory Commission (MedPAC) recommends the following considerations in its annual report to enhance Medicare payment systems.