Amid Fall Open Enrollment, New Insights on the Medicare Advantage Landscape in 2025
November 21, 2024
Medicare’s annual Fall Open Enrollment (FOE) period runs from October 15 to December 7. It is the time of year when people
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Medicare Advantage
People who choose Medicare Advantage (MA) face additional hurdles during the initial enrollment and annual plan selection processes. The MA plan choice landscape is cluttered, complicated, and confusing. Other MA features, like prior authorization, narrow provider networks, and predatory plan marketing, can worsen decision-making and access problems. It is also expensive. MA costs more, both overall and per enrollee, than Original Medicare. This drives up spending for the program, beneficiaries, and taxpayers; though little is known about how plans are using these dollars, or about overall plan quality. As MA enrollment grows, addressing its financing flaws and programmatic pitfalls becomes ever-more important. We support comprehensive reforms to ensure all beneficiaries can rely on their earned Medicare coverage.
Watchdog Estimates $7.5 Billion Medicare Advantage Overpayment from “Questionable” Health Risk Assessments
October 31, 2024
When the Centers for Medicare & Medicaid Services (CMS) pays Medicare Advantage (MA) organizations, they increase the payments when plans
Medicare Advantage Offerings Stable as Overpayments Continue
October 24, 2024
This month, Families USA hosted an important webinar on Medicare Advantage (MA) issues, including overpayment, marketing abuses, and delays caused
Comparing Plans is Especially Important This Open Enrollment Season Due to Changes in Part D Protections and New Options
October 17, 2024
Key components of the Inflation Reduction Act’s Part D reforms will be fully implemented for plans offered in 2025. These
Medicare Advantage Pulling in Billions in Dubious Quality Bonuses
September 19, 2024
The Medicare Rights Center’s policy series, Medicare Advantage 101, covers the history of and issues within Medicare Advantage (MA), including overpayments to
Annual Assessment and New Investigation Highlight High Medicare Advantage Overpayment
August 22, 2024
In its annual data book on “Health Care Spending and the Medicare Program,” the Medicare Payment Advisory Commission (MedPAC) shows
As Medicare Turns 59, We Celebrate the Program’s Successes and Its Future
August 1, 2024
This week 59 years ago, President Lyndon B. Johnson signed Medicare and Medicaid into law, improving access to care and
Health Care Consolidation Request for Information
June 5, 2024
Consolidation and market concentration impact many aspects of the U.S. health care system. Our response to the RFI focuses on the consequences for Medicare and its enrollees. We discuss opportunities for policymakers to better protect older adults, people with disabilities, and the range of public programs that support their access to care.
Medicare Rights Urges CMS to Increase Medicare Advantage Transparency and Accountability
May 30, 2024
Yesterday, the Medicare Rights Center submitted comments in response to a Centers for Medicare & Medicaid Services (CMS) Request for
Final Rules on Medicare Advantage Prior Authorization Offer Improvements, but More Change is Needed
May 30, 2024
Prior authorization is one of the processes Medicare Advantage and other private insurance companies use to manage health care utilization
Amid Fall Open Enrollment, New Insights on the Medicare Advantage Landscape in 2025
November 21, 2024
Medicare’s annual Fall Open Enrollment (FOE) period runs from October 15 to December 7. It is the time of year when people
Watchdog Estimates $7.5 Billion Medicare Advantage Overpayment from “Questionable” Health Risk Assessments
October 31, 2024
When the Centers for Medicare & Medicaid Services (CMS) pays Medicare Advantage (MA) organizations, they increase the payments when plans
Medicare Advantage Offerings Stable as Overpayments Continue
October 24, 2024
This month, Families USA hosted an important webinar on Medicare Advantage (MA) issues, including overpayment, marketing abuses, and delays caused
Comparing Plans is Especially Important This Open Enrollment Season Due to Changes in Part D Protections and New Options
October 17, 2024
Key components of the Inflation Reduction Act’s Part D reforms will be fully implemented for plans offered in 2025. These
Medicare Advantage Pulling in Billions in Dubious Quality Bonuses
September 19, 2024
The Medicare Rights Center’s policy series, Medicare Advantage 101, covers the history of and issues within Medicare Advantage (MA), including overpayments to
Annual Assessment and New Investigation Highlight High Medicare Advantage Overpayment
August 22, 2024
In its annual data book on “Health Care Spending and the Medicare Program,” the Medicare Payment Advisory Commission (MedPAC) shows
As Medicare Turns 59, We Celebrate the Program’s Successes and Its Future
August 1, 2024
This week 59 years ago, President Lyndon B. Johnson signed Medicare and Medicaid into law, improving access to care and
Health Care Consolidation Request for Information
June 5, 2024
Consolidation and market concentration impact many aspects of the U.S. health care system. Our response to the RFI focuses on the consequences for Medicare and its enrollees. We discuss opportunities for policymakers to better protect older adults, people with disabilities, and the range of public programs that support their access to care.
Medicare Rights Urges CMS to Increase Medicare Advantage Transparency and Accountability
May 30, 2024
Yesterday, the Medicare Rights Center submitted comments in response to a Centers for Medicare & Medicaid Services (CMS) Request for
Final Rules on Medicare Advantage Prior Authorization Offer Improvements, but More Change is Needed
May 30, 2024
Prior authorization is one of the processes Medicare Advantage and other private insurance companies use to manage health care utilization