By Cynthia Henry – As the healthcare industry adapts to economic and regulatory changes, Medicare Advantage stands out as a cost-effective model consistently delivering value to beneficiaries. Compared to traditional fee-for-service Medicare, MA excels in financial efficiency and quality outcomes, making it a resilient choice for enrollees and a strategic asset for payers.
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By David R. Burda – The money flowing from Medicare into Medicare Advantage is like water gushing out of a frozen pipe. Here are the latest numbers from CMS, which released its annual national health expenditure figures on Dec. 13, 2023.
By Don Rucker, MD – Providers sharing data with payers has been anxiety-provoking and is often only as part of rework for appeals of denials of payment or prior authorization. Obviously, providers have been concerned that any data they give to payers would be used to lower their revenues from that payer.
By David Burda – I have one quid pro quo in my life: I won’t tell you what to do if you don’t tell me what to do. The only exception is anything really stupid that could kill me or you or both of us at the same time. That’s why, 19 months from now, when I turn 65, I’m going to sign up for traditional Medicare.
By David Burda – I didn’t know this until I looked it up, and that there’s a thing called “Sutton’s Law” that medical schools teach to medical students. The law basically says first order the diagnostic tests that will confirm or rule out the most likely diagnosis of a patient’s illness or injury.
By David Burda – I’m starting to run out of clever headlines to tell the same story. Spending on Medicare Advantage plans rose by double digits again in 2021, according to the latest National Health Expenditure data released by CMS in December, and no one seems that interested or willing to do anything about it.
By Seth Ravine – As managed Medicaid and Medicare Advantage continue to grow—more participants and health plan expansion—the need to effectively address health related social needs increases proportionately.
In case you missed it, this is recent communication from the Centers for Medicare & Medicaid Services. Subscribe to their email lists to keep up to date on all press and news releases.
In case you missed it, this is recent communication from the Centers for Medicare & Medicaid Services. Subscribe to their email lists to keep up to date on all press and news releases.