Latest News
Increase in hospital days by Medicare Advantage members - The Kaiser Family Foundation
In 2025, 54 percent of eligible Medicare beneficiaries are enrolled in a Medicare Advantage plan. This trend will impact healthcare providers since Medicare Advantage plans ‘reimbursement differs from traditional Medicare. How will this affect hospitals and beneficiaries? First, almost all Medicare Advantage plans require prior authorization for inpatient hospital stays, post-acute skilled nursing facility stays, and home health care. Second, Medicare Advantage plans typically establish provider networks and impose higher out-of-pocket costs for care received from out-of-network providers. Jamie Godwin, Jeannie Fuglesten Biniek, Zachary Levinson, and Tricia Neuman, analysts for The Kaiser Family Foundation, explain how Medicare Advantage plans are changing the hospital reimbursement landscape. Read their analysis here…
This posting is presented for informational purposes only and does not represent legal or financial guidance. Any opinions or interpretations presented are either those of the original author or, in the case of articles authored by the AMAC Foundation, are the opinions of AMAC Foundation staff, originally trained and accredited by the National Social Security Association (NSSA) and certified via the AMAC Foundation. Any links included in the article are valid on the posted date; socialsecurityreport.org cannot guarantee the duration of the links’ validity. NSSA and the AMAC Foundation and its staff are not affiliated with or endorsed by the Social Security Administration or any other governmental entity. To submit a question, visit our website (https://amacfoundation.org/services/) or email us at ssadvisor@amacfoundation.org. Because we are a non-profit organization, there is no charge for these services.