Differential coding by Medicare Advantage plans appeared to have pushed their risk scores higher than traditional Medicare's scores. Those greater risk scores led to $33 billion in extra revenue for ...

This article is the latest in the Health Affairs Forefront series, Supplemental Benefits in Medicare Advantage, featuring analysis and discussion from all stakeholder perspectives with the goal of ...

MA enrollees have similar utilization rates of dental, vision, and hearing benefits as TM beneficiaries, despite broader coverage in MA plans. Low awareness of coverage and significant out-of-pocket ...

This is the latest in the Health Affairs Forefront featured topic, Medicare and Medicaid Integration. The featured topic includes analysis, proposals, and commentary that will inform policies on the ...

Implementing the Medicare $2 drug list model would have reduced out-of-pocket spending by 63% for Part D beneficiaries in 2021. The model caps cost-sharing at $2 for a 30-day supply of 101 generic ...

One in six Medicare beneficiaries had a telehealth visit from 2021 to 2023, according to a study published in Annals of Internal Medicine. “Telehealth has become much more common post-[COVID-19] ...

December is a time of nonstop errands: shopping for gifts, planning holiday travel and meals, and trying to beat year-end deadlines. Medicare Advantage beneficiaries have one more thing to add to ...

Your Medicare Benefit Period begins when you enter a hospital or skilled nursing facility and ends when you've been out for 60 days. The Medicare Benefit Period is the timeframe used to calculate your ...

Intensive coding by Medicare Advantage (MA) plans raised enrollees' risk scores and may have allowed companies to pocket tens of billions of dollars more than if traditional Medicare had covered the ...