A new survey from the Commonwealth Fund, a thinktank that promotes improvements in the healthcare system, found that most older Americans say they like their coverage regardless of whether they are enrolled in Medicare Advantage or Medicare fee-for-service (FFS). However, more people in Medicare Advantage plans reported delays in care...
The Medical Group Management Association (MGMA) published a report last week on the issues brought about by Medicare Advantage (MA) plans' use of prior authorization.
MGMA surveyed 600 medical groups on the use of PA and found that it contributes to increased costs and delays or denials of care. Groups overwhelmingly reported that...
The success of Medicare Advantage (MA) can't be understated. In the last 11 years, the program has grown to represent nearly 50% of the Medicare-eligible market, a benchmark it will likely pass within the next year.
Arizona MA growth reflects the program's national success. At the Hertel Report's 2020 Winter State of the State, Dan...
The Medicare enrollment period has surpassed the halfway point for the 2022 calendar year (CY) and trends are already apparent. Supplemental benefits and in-home services are demonstrating huge gains for Medicare Advantage (MA) plans that offer them, although the $0 premium remains the most consistent choice for enrollees.
Online...
In a retrospective analysis of post-acute claims by The American Journal of Managed Care, patients enrolled in Medicare Advantage have better outcomes and lower cost following skilled nursing facility discharge than patients enrolled in traditional fee-for-service Medicare.
Medicare Advantage v.s. traditional Medicare
Established...Arizona News
Starting Oct. 1 therapy payments to nursing facilities will shift to a value-based model, emphasizing patient needs over the amount of services provided. The Patient Driven Payment Model (PDPM), a more individualized approach, aims to reduce inflated billing by basing payments on patient's medical characteristics.
The new approach...Arizona News
Provider directories for Medicare Advantage (MA), the private alternative to traditional fee-for-service Medicare, have historically shown to be highly unreliable and audits performed by the Centers for Medicare and Medicaid Services (CMS) reinforced that notion by reporting inaccuracies in nearly half of all MA online provider...National News
Despite efforts from the Centers for Medicare and Medicaid Services (CMS) to curb hospital readmission for traditional fee-for-service Medicare, a new study suggests Medicare Advantage (MA) enrollees are showing higher rates.
CMS only factors in fee-for-service Medicare user data when calculating readmission rates and does not...
