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Tag: Medicare Advantage


Mobility

Is Medicare Advantage too good to be true?

December 29, 2020Liz Beaulieu, Editor

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,...

complex rehab technology, Dan Fedor, Medicare Advantage, U.S. Rehab


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News

Medicare Advantage: CMS touts reduced premiums, increased access

September 25, 2020HME News Staff

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...

insulin, Medicare Advantage, premiums, telehealth


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Guest Blog

We follow Medicare guidelines, they say

November 13, 2019HME News Staff

Dan_Fedor.jpg Many Medicare beneficiaries are being enticed by celebrities on TV to select a Medicare Advantage (MA) plan over original Medicare fee for service (FSS) with all the standard benefits of Medicare at a lower out-of-pocket cost. These plans often state they provide additional benefits, such as gym memberships, transportation and eyeglasses, so how can they provide more benefits with a lower cost? Seems too good to be true, doesn't it? How can these private, for-profit insurance...

Medicare Advantage, Medicare guidelines, payment, policies


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Also Noted

Medicare Advantage gets 3.4% increase

April 4, 2018HME News Staff

WASHINGTON - CMS will increase average payments for health insurers that manage Medicare Advantage plans by 3.4% for 2019, the agency announced on April 1. CMS initially proposed a 1.84% increase, according to news reports. The agency will also make a number of policy changes to MA plans, including codifying key aspects of the Star Ratings system and revising the regulations controlling maximum out-of-pocket limits.

Medicare Advantage


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Part B premiums, deductibles remain stable for 2018

November 21, 2017HME News Staff

WASHINGTON - The standard monthly premium for Medicare Part B enrollees will be $134 for 2018, the same as 2017, CMS has announced.Some beneficiaries who were protected from Part B premium increases in prior years will have increases in 2018, but they will be offset by the increases in their Social Security benefits next year, CMS says.“Medicare's top priority is to ensure that beneficiaries have choices for affordable, high-quality care that fit their needs,” said CMS Administrator Seema...

deductibles, Medicare Advantage, Part B premiums


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CMS provides Medicare Advantage updates for 2017

September 27, 2016HME News Staff

WASHINGTON - Medicare Advantage premiums will remain stable and for the seventh straight year enrollment is projected to increase to a new all-time high, CMS announced Sept. 22. The average monthly premium will decrease by $1.19, from $32.59 in 2016 to $31.40 in 2017, about 4%. The majority of Medicare Advantage enrollees (67%) will experience no increase in premiums. Enrollment will increase to 18.5 million in 2017, a 60% increase from 2010. Thirty-two percent of all Medicare enrollees will be in...

growth, Medicare Advantage, premiums


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GAO pokes holes in CMS's MA audit program

May 10, 2016HME News Staff

WASHINGTON - The Government Accountability Office isn't pleased with CMS's progress in recovering substantial amounts of improper payments from Medicare Advantage organizations. The agency currently uses risk adjustment data validation audits to recover improper payments in the MA program. The GAO found that CMS's methodology does not result in the selection of contracts for audit that have the greatest potential for recovery of improper payments. The GAO also found “substantial delays”...

audits, GAO, Medicare Advantage, overpayments


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Feds tweak Medicare Advantage pricing for 2017

April 5, 2016HME News Staff

WASHINGTON - Payments to insurers that offer Medicare Advantage plans won't be as high as initially expected. Medicare Advantage payments will increase 0.85%, on average, for 2017, and insurers will likely see overall revenue increases of 3.05%, according to news reports. Earlier this year, CMS had indicated that payments would increase 1.35% and that insurers would see overall revenue increases of 3.55%. As part of a final rule published this week, the Obama administration has also proposed several...

increase, Medicare Advantage, payments


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Feds tweak Medicare Advantage pricing for 2017

April 5, 2016HME News Staff

WASHINGTON - Payments to insurers that offer Medicare Advantage plans won't be as high as initially expected. Medicare Advantage payments will increase 0.85%, on average, for 2017, and insurers will likely see overall revenue increases of 3.05%, according to news reports. Earlier this year, CMS had indicated that payments would increase 1.35% and that insurers would see overall revenue increases of 3.55%. As part of a final rule published this week, the Obama administration has also proposed several...

increase, Medicare Advantage, payments


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CMS proposes shakeup for Medicare Advantage

February 23, 2016HME News Staff

WASHINGTON - CMS has proposed changes to Medicare Advantage plans in 2017 that it believes will provide stable and fair payments, and improve the program. The net payment impact of the proposed changes would result in a modest increase of 1.35% on average Medicare Advantage plans, according to a press release. “This moderate growth is consistent with last year's update and reflects a similar pattern in Medicare fee-for-service,” the agency states. “Plans that improve the quality...

Medicare Advantage


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