The Centers for Medicare & Medicaid Services reversed a February proposal to decrease Medicare Advantage rates by 0.95 percent, announcing this week a 1.25 percent rate increae next year. For years, insurers have voiced their opposition to cuts to the program. Now, it appears as though the Obama administration finally is listening to the health insurance industry.
Health insurers operating Medicare Advantage plans can expect revenue to increase 1.25 percent next year, the Centers for Medicare & Medicaid Services announced Monday. However, insurers likely will see their overall revenue increase about 3.25 percent as they deliver and bill for more intense services.
Nearly 17.3 million individuals were enrolled in Medicare Advantage (MA) plans as of March 2015, according to a recent analysis brief from Mark Farrah Associates.
Most seniors are satisfied with their Medicare Advantage coverage and costs, according to a new poll from Morning Consult. The findings help bolster the insurance industry's case against the Obama administration's most recent proposal to decrease Medicare Advantage payment rates.
Cigna and California-based SCAN Health Plan have formed an alliance to provide Medicare Advantage plan benefits to employer clients in California, the insurer recently announced.
After the Department of Justice (DOJ) requested information from Humana last month regarding risk adjustments assigned to Medicare Advantage beneficiaries, the insurer said this week that it believes this investigation is part of a more extensive review that involves other healthcare companies, reported Reuters.
Just before the government announced nearly $28 billion in fraud recoveries since 1997, The Centers for Public Integrity released a report indicating the feds have known about problems with Medicare Advantage risk scores since 2009. The report questions whether those recovery dollars could be a whole lot higher if the investigators were willing to target a payment system that appears to be flawed.
Insurers have even more incentive to earn high stars for their Medicare Advantage plans: According to a new analysis from Avalere Health, consumers increasingly choose plans with four or more stars.
Starting next year, health insurers must provide up-to-date doctor lists for their Medicare Advantage and Healthcare.gov policies, according to the Centers for Medicare & Medicaid Services.
The Centers for Medicare & Medicaid Services proposes a modest 0.95 percent reduction in Medicare Advantage payments to providers for 2016--a proposal that is not sitting well with the hospital sector.