Subscribe to RSS - Medicare Advantage

Medicare Advantage

More MA audits on the way?


WASHINGTON – CMS is considering expanding its RAC program for Medicare Advantage, according to a draft scope of work published by the agency.

Medicare Advantage plan backs off


STILLWATER, Minn. – A Medicare Advantage plan in Minnesota that sought to do business only with contract suppliers from Medicare’s competitive bidding program has backed off.

Providers feel shut out from managed care


YARMOUTH, Maine – Record numbers of beneficiaries are enrolling in Medicare Advantage plans, but with many of those plans locking down their markets to a handful of providers, that doesn’t always translate to an increase in business for HME providers.

In brief: Premiums for Medicare Advantage remain stable, complex rehab stakeholders launch petition


WASHINGTON – There won’t be a cat-and-mouse game with premiums for Medicare Advantage plans this year.

Premiums for Medicare Advantage plans to remain stable in 2016


WASHINGTON – There won’t be a cat-and-mouse game with premiums for Medicare Advantage plans this year.

In brief: CMS limits scope of audits, O&P fight rages on


WASHINGTON – For redeterminations and reconsiderations of claims denied following a post-payment review or audit, CMS has instructed the MACs and QICs to limit their scope to the reason the claim or line item was initially denied, according to a recent MLN Matters

CMS targets Medicare Advantage for alternative model


BALTIMORE – CMS has announced plans to test a Value-Based Insurance Design Model to improve care and reduce costs in Medicare Advantage plans.

United Health dominates Medicare Advantage market


NEW YORK – There is little or no competition in the Medicare Advantage market in 97% of U.S. counties, according to a new study from the Commonwealth Fund.

CMS reverses cut to MA plans


WASHINGTON – CMS has reversed a small cut to 2016 payments to Medicare Advantage plans.

CMS holds steady on Medicare Advantage


WASHINGTON – CMS has proposed a very small decrease in payments to Medicare Advantage plans for 2016, the agency announced Feb. 20.