Medicare Advantage

The AHA generally supports the Centers for Medicare & Medicaid Services’ proposals to increase flexibility in plan design, cost sharing and enrollment for the Medicare Advantage and prescription drug programs in 2019, but recommends caution to ensure that the added flexibility provides value…
AHA comments on the Centers for Medicare & Medicaid Services’ proposed rule outlining 2019 contract year policy and technical changes to the Medicare Advantage and Medicare Prescription Drug Benefit programs.
The Centers for Medicare & Medicaid Services last week announced proposed changes to the risk adjustment model for aged and disabled beneficiaries enrolled in Medicare Advantage Part C plans beginning in calendar year 2019, as required by the 21st Century Cures Act. CMS proposes phasing in the…
The Centers for Medicare & Medicaid Services today announced refinements to the Medicare Advantage Valued-Based Insurance Design Model for calendar year 2019, the third year of the demonstration program. The model is designed to test whether giving MA plans flexibility to offer…
The CMS on Nov. 16 issued a proposed rule that would update Medicare Advantage and the Part D prescription drug program.
Some provider-owned health plans cover just one market segment (e.g., Medicaid managed care) and other plans offer a full portfolio of products for the public and commercial sectors. There are increasing examples of health care systems and hospitals partnering with provider and commercial health…
The Centers for Medicare & Medicaid Services this week published its star ratings for 2018 Medicare Advantage and prescription drug plans. Approximately 44% of MA plans that offer prescription drug coverage will have an overall rating of four stars or higher in 2018, and about 52% of stand-…
The Centers for Medicare & Medicaid Services Friday released premium and cost information for Medicare Advantage and Part D prescription drug plans for the 2018 calendar year.
The AHA today encouraged Congress to continue access to Medicare Advantage special needs plans for vulnerable populations and give all MA plans more flexibility to tailor their products based on enrollees’ needs.