On one hand, “Medigap,” health insurance coverage that supplements traditional Medicare, is an incredible product. It usually picks up all but a little of people’s out-of-pocket...
Diane Archer
Medicare Advantage: Combating fraud is a challenge because...
Medicare Advantage plans are required to submit complete and accurate data on the services their enrollees receive–patient “encounter data”–but, according to the Medicare...
2023: Congress should scrap the Social Security cap
Today, people earning $1,000,000 this year received a late Valentine. They stopped paying into Social Security for the rest of 2023 because they had hit the $160,200 cap on payroll contributions...
When the public health emergency ends, so will coverage for...
Healthcare Dive reports that the majority of people with Medicaid do not know that their coverage could end when the public health emergency ends. States have already begun rechecking people with...
Comment to CMS on its proposed changes to the way it calculates...
CMS’ planned changes in the Medicare Advantage (MA) capitation rate methodology and risk adjustment methodology, which will lead to a projected payment rate increase of around one percent in 2024...
Who’s enrolling in Medicare Special Needs Plans?
Becker’s Payer Issues reports that Medicare Advantage Special Needs Plans–health plans for people with Medicare and Medicaid–are the fastest growing segment of the Medicare...
Rural hospitals need government help to survive
No American should have to travel long distances to get to a hospital, especially in an emergency. But, as more hospitals are being swallowed up into hospital systems and profitability becomes a...
Unless you have Medicare, surprise ambulance bills are common
Unless you have Medicare, surprise ambulance bills continue to be a serious concern for most Americans, even Americans with health insurance. Often the local ambulance is out of network and comes...
Don’t rely on Mark Cuban’s Cost Plus Drugs for the...
I promoted Mark Cuban’s Cost Plus Drugs a while back as a way to get low-cost generics. As it turns out, Darius Tahir reports for Kaiser Health News that Cost Plus Drugs does not always offer...
Medicare Advantage ads are improperly embedded in people’s...
Medicare Advantage plans are now advertising on people’s electronic health record portals, reports Cheryl Clark for MedPage Today. The Centers for Medicare and Medicaid Services (CMS), which...