Over the last several years, The Inquirer has curated a primer on Medicare, based on questions sent in by our readers, to help make the process a little easier. For 2021, we've updated it with details ...

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 ...

Accountable care organizations saved Medicare $1.66 billion last year as value-based care providers brace for potential major changes to the program like new health equity measures. The Centers for ...

The Medicare Shared Savings Program, by working with Accountable Care Organizations, saved Medicare $1.66 billion in 2021 compared to spending targets, the fifth consecutive year the program has ...

Income-related monthly adjustment amounts, or IRMAAs, affect premiums for Part B (outpatient care coverage) and Part D (prescription drug coverage). About 7% of Medicare's 63.3 million beneficiaries ...

Medicare open enrollment ended on Monday, with preliminary data showing that more consumers are choosing Medicare Advantage plans for 2021 due to the plans' supplemental benefits. This is no surprise, ...

Differential coding in MA plans results in higher risk scores and increased payments compared to TM, with significant insurer variation. UnitedHealth Group's risk scores were significantly higher than ...

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] ...

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 ...

Low-income Medicare beneficiaries rely on Medicaid for supplemental coverage but must meet income and asset tests to qualify. We examined states’ income and asset tests for full-benefit Medicaid ...

Cost adjustments can affect premiums, deductibles and other cost-sharing aspects of Medicare. Beneficiaries who have limited income might qualify for Medicaid or other programs that reduce ...