Paige Minemyer reports for Fierce Healthcare that hospitals treating Medicare Advantage enrollees faced a higher likelihood of claim denials last year than the year before. Medicare Advantage plans...
Diane Archer
Pharmacy Benefits Managers continue to drive up costs
Most people likely do not even know what a Pharmacy Benefit Manager (PBM) is. PBMs allegedly add value to your prescription drug benefit through negotiating drug discounts with pharmaceutical...
Republicans plan to cut Social Security, President Biden should...
[This article was originally published in Common Dreams on February 8, 2023] Last night, President Joe Biden called out Congressional Republicans for their plans to cut Social Security and...
Will Republicans and Democrats agree to cut waste in Medicare...
Republicans and Democrats in Congress claim that they don’t want Medicare cuts. As we learn more, we find that “cuts” can mean different things to Republicans and Democrats...
People with Medicare are less likely to get dental care
Only about half of older adults in the US have health insurance that covers dental care, according to new research out of Harvard. Millions cannot afford to pay out of pocket for dental care...
Rents soar for older adults in private-equity owned senior...
Rebecca Burns reports for The Lever on the plight of older adults living in private-equity-owned senior housing. The bottom line: Watch out, private equity is buying up senior housing and hiking up...
Coronavirus: When public health emergency ends, so will some...
The President has declared May 11 as the date for an end to the Covid-19 public health emergency. Rachel Cohrs reports for Stat that once the public health emergency ends, older adults and people...
Extra benefits in Medicare Advantage: Truth or Fiction?
A new GAO report reveals that the government has little data to know whether Medicare Advantage plans are offering additional benefits and whether their enrollees are using these benefits...
Medicare Advantage plans denied two million prior authorization...
Imagine that you were given a wad of cash to deliver a service when necessary. And, it was in your discretion to determine when the service was necessary. That’s effectively the way Medicare...
US continues to spend more for poorer quality care than other...
Once again, The Commonwealth Fund is out with a report showing that we spend way more than other developed countries for our health care and yet get far less for our money. We spend more per person...