Medicare Advantage
Medicare paid $536 million for remote patient monitoring in 2024
In 2024, Medicare paid $536 million for remote patient monitoring, a 31 percent increase from 2023. Remote patient monitoring (RPM) is a technology that allows healthcare providers to collect and analyze patient health data from a distance, typically in the…
Will doctors continue to serve Medicare patients?
Medicare reimbursement is not keeping up with inflation, according to a new study. The report noted that doctors are paid one-third less than a decade ago, but over the same period, inflation has risen by almost 30 percent. Additionally, Medicare…
Increase in hospital days by Medicare Advantage members
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…
MA members are not satisfied
Medicare Advantage members are experiencing lower satisfaction rates and widespread lack of trust, according to the J.D. Power 2025 U.S. Medicare Advantage Study. Why is the level of dissatisfaction with Medicare Advantage plans? According to Christoper Lis, managing director of…
CMS releases 2026 Medicare Part D Information
The Centers for Medicare & Medicaid Services (CMS) has released preliminary technical Medicare Part D bid information for the 2026 contract year, which will help Part D plans finalize their Part D and Medicare Advantage (MA) offerings for 2026. As…
Prior Authorization Targeted by CMS Medicare
Under the guise of fraud and waste prevention, the Centers for Medicare & Medicaid Service (CMS),along with dozens of large healthcare insurance companies, have revealed forthcoming changes to the “Prior Authorization” process. Prior Authorization is a process used by various…
What Medicare does not cover
A recent survey conducted by The Kaiser Family Foundation found that 23 percent of adults under 65 and 45 percent of those aged 65 and older believed that Medicare would cover the cost of time in a nursing home or…
CMS expanding its efforts to audit MA plans
The Centers for Medicare and Medicaid Services (CMS) announced it is expanding its efforts to audit Medicare Advantage (MA) plans risk adjustment payments through the Risk Adjustment Data Validation (RADV) program. A risk adjustment factor (RAF) is calculated for each…
How do you qualify for a grocery allowance through Medicare Advantage?
We have all seen TV ads or social media posts about seniors qualifying for a grocery allowance, but who qualifies? First, you must be enrolled in original Medicare Parts A and B and choose to enroll in a Medicare Advantage…
The difference in care between Medicare and Medicare Advantage members
With the increasing enrollment by Medicare recipients in Medicare Advantage health plans and the issue of prior authorization requirements and limited provider networks, a team of health policy researchers at Harvard T.H. Chan School of Public Health looked at the…