Although this presentation by the MedPAC Commission is informational only and includes no recommendations to Congress, it does include a variety of data and details on the 2024 Medicare Advantage (MA) market, including enrollment totals, vertical integration trends, payment policies and coding intensity changes year-over-year within MA...
Another record year for Arizona MA enrollment and the 2024 MA Data Edition has all the details. Get YOY enrollment trends and highlights about the plans competing for Arizona's 1.5 million Medicare-eligible beneficiaries in this highly profitable sector. Read more about the trends shaping supplementary benefits and CMS rules impacting MA...
Regarding inpatient admissions, algorithms or artificial intelligence alone cannot be used by Medicare Advantage (MA) insurers as the basis to deny admission or downgrade to an observation stay; a patient’s circumstances must be considered against the permissible applicable Medicare coverage criteria under which MA operates.
The...
