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....
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.
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.
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.
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.
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.
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.
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.
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.
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.