Tag: Medicare Advantage

WASHINGTON – A greater proportion of dual-eligible beneficiaries choose enrollment in Medicare Advantage over fee-for-service Medicare only, according to a new data brief commissioned by Better Medicare Alliance. Dual-eligible beneficiaries comprise 23% of the total Medicare Advantage population compared to 17% in FFS Medicare, and 44% of all dual-eligible beneficiaries choose Medicare Advantage compared to 35% of non-dually eligible Medicare beneficiaries. “This latest research is a...

Q. How can suppliers find out when patients switch to Medicare Advantage Plans?  A. Because many patients forget to notify DME suppliers directly, denials from an inactive plan are often the first sign that a patient has changed insurance coverage. Fortunately, Medicare eligibility data is a powerful tool for identifying policy changes in advance. Search results include effective dates for plans that go into effect up to four months after the date of service queried.  A structured,...

WASHINGTON – Better Medicare Alliance has released a new report conducted by Milliman highlighting the value of Medicare Advantage to the federal government. The report finds that Medicare Advantage provides $32.5 billion annually in additional benefits and lower out-of-pocket costs for beneficiaries, or about $123.36 per member per month. “This independent, actuarial report offers an important look at Medicare Advantage’s value to beneficiaries and the federal government,”...

WASHINGTON, D.C. – Better Medicare Alliance, a research and advocacy organization supporting Medicare Advantage, says CMS’s 2022 Medicare Advantage premiums and cost-sharing information show that Medicare Advantage delivers high-value care for beneficiaries. Medicare Advantage average premiums will fall again to $19 a month, down from $21.22 in 2021, according to CMS. Additionally, Medicare Advantage enrollment will swell to 29.5 million beneficiaries in 2022, the agency expects. “With...

WASHINGTON – Enrollment in Medicare Advantage programs has nearly doubled in the past decade to 26 million Americans or 42% of all Medicare beneficiaries, according to the Better Medicare Alliance’s 2021 “State of Medicare Advantage” report.    The annual report shows near-universal satisfaction, greater consumer savings, and better health outcomes in Medicare Advantage programs compared to traditional fee-for-service Medicare. This year’s report also...

MIRAMAR, Fla. – onehome, a leader in post-acute home-based care, is partnering with Devoted Health, a Medicare Advantage company, to expand care to Devoted Health's members in Arizona, Ohio and San Antonio, Texas. The partnership brings enhanced care into members' homes, enabling them to receive health care, including infusion services, wound therapy and durable medical equipment, at home. "Our members' health and quality of life depend on access to safe and...

WASHINGTON and HARTFORD, Conn. – Avalere, an independent health care research and consulting firm, has found a major reduction in the total cost of care for patients managed by CareCentrix through reduced emergency room visits, hospital utilization and hospital readmissions.  Avalere found that the total cost for Medicare Advantage members was 44% lower in the CareCentrix-managed population during the initial 90 days following discharge and 27% lower twelve months after...

WASHINGTON – The Better Medicare Alliance, a research and advocacy organization supporting Medicare Advantage, is airing a new television ad on broadcast networks in Washington, D.C., and cable news channels nationwide. The 60-second spot highlights MA’s preparedness in the face of health care challenges. “The COVID-19 pandemic has shown just how responsive and nimble Medicare Advantage is and how important it is to the health and wellbeing of beneficiaries,”...

In November, at the height of open enrollment season, U.S. Rehab’s Dan Fedor warned complex rehab providers about the Medicare Advantage plans that were being promoted by celebrities in TV commercials. The first thing providers need to know about these plans: what they’re promising Medicare beneficiaries. “A lot of (MA plans) are trying to lure (beneficiaries) from traditional Medicare to their MA plan,” said Fedor, director of reimbursement and education for U.S. Rehab,...

WASHINGTON - The Medicare Advantage average monthly plan premium is expected to decrease 11% to $21 in 2021, CMS has announced. Since 2017, the average monthly plan premium has decreased 34.2%, according to the agency, saving beneficiaries nearly $1.5 billion in costs. “This is the lowest that the average monthly premium for a Medicare Advantage plan has been since 2007,” CMS state. “In some states, including Alabama, Nevada, Michigan and Kentucky, beneficiaries will see average...