Medicare Advantage

Latest Headlines

Latest Headlines

Health economist: Competitive Medicare Advantage bidding could save gov't billions

Lack of a competitive bidding process in Medicare Advantage costs the government billions in overpayments. But plans to introduce it are probably doomed, according to a New York Times columnist....

How CMS proposes to align Medicaid managed care with private plans

Among the many provisions in the newly finalized rule for Medicaid managed care, the federal government seeks to align MMC regulations with ones that govern other privately managed plans.  

Teaching hospitals can prepare for value-based care with integrated network alliances

Healthcare's transition from fee-for-service to value-based care models is hitting teaching hospitals especially hard. However, if such hospitals strengthen their ties to integrated delivery networks that emphasize primary care and multispecialty group practice, they can significantly improve their chances of a successful transition, argues a post from the NEJM   Catalyst blog.

MACRA proposed rule: What it means for Medicare Advantage

Medicare's newly proposed physician payment overhaul includes clues that federal health officials want to credit participation in Medicare Advantage plans toward alternative payment models.  

Report flags care quality, experience disparities in Medicare Advantage

As is the case in the healthcare system at large, care quality and patient experience among Medicare Advantage enrollees vary along racial and ethnic lines, according to a new federal report.  

Medicare Advantage, pharma costs among AHIP's top five focus areas

America's Health Insurance Plans CEO Marilyn Tavenner described the top five areas where she hopes to focus AHIP's efforts in her keynote speech Wednesday at the National Quality Forum's annual conference in the District of Columbia.

Are sick beneficiaries better off in traditional Medicare?

Despite the popularity of Medicare Advantage plans, research has called into question whether they serve sicker beneficiaries as well as those who are healthy, according to a post for the  New York Times' The Upshot. 

Humana, Cleveland Clinic CEOs: Payer-provider collaboration benefits MA members

In the effort to improve outcomes and control costs for beneficiaries in its Medicare Advantage program, a major payer and major provider have found collaboration is key, according to a  Forbes  contributed post by Humana CEO Bruce Broussard and Cleveland Clinic CEO Toby Cosgrove, M.D.  

In past eight months, 15K MA enrollees granted special enrollment periods

Federal officials have allowed more than 15,000 Medicare Advantage members to use special enrollment periods to change plans or join traditional Medicare in the last eight months because of "significant" provider cuts in their plans' networks.

Hearing hashes out pros, cons of Medicare Advantage's growing role

At a congressional hearing about ensuring the fiscal stability of the Medicare program, experts and lawmakers discussed the role Medicare Advantage plans have played in altering how Medicare operates--and what role they should play in the future.