COVID-19 pandemicECONOMICSThis cohort study uses data from the Medicare Shared Savings Program to assess changes in spending, utilization, and quality performance from before the COVID-19 pandemic (2019) to year 2 of the pandemic (2021).Yan, Brandon W....
If a senior does not sign up for Medicare during their IEP, they may do so during the general enrollment period (GEP) between January and March. Historically, Medicare benefits would not begin until July 1 following the GEP. “This waiting period has also been lifted beginning in Ja...
The shift to Medicare Advantage was accelerated by legislation in 2003 that created Medicare's drug benefit and gave private health plans a far greater role in the program. Lawmakers thought private insurers could better contain costs. Instead, the plans have cost more. In 2023, Medicare Advantage...
2023. Accessed January 29, 2023. https://www.whitehouse.gov/ostp/news-updates/2023/01/24/fact-sheet-biden-harris-administration-releases-first-ever-federal-evidence-agenda-on-lgbtqi-equity/ 17. Song Z. Potential implications of lowering the Medicare eligibility age to 60. JAMA. 2020;...
Within Step 1, most hospitals have monitoring and data management systems in place to document exclusive breastfeeding (92.2% in 2022). Beginning in 2024, the Centers for Medicare and Medicaid Services removed the Perinatal Care (PC) electronic clinical quality measure ePC-05 (Exclusive Human Milk...
This cohort study investigates changes in use of common medications after an incident dementia diagnosis in a national sample of Medicare beneficiaries.
Most retirees have their Medicare premiums withheld from Social Security payments. In a typical year, part of the Social Security cost-of-living adjustment is often used to pay for higher Medicare premiums. However, in 2023, monthly Medicare Part B premiums will actually decrease slightly from $...
(MIPS) is a mandatory quality payment system for clinicians who receive Medicare Part B payments unless they qualify for an exception or are part of an alternative payment model (APM). More than 655,000 eligible clinicians engaged with the MIPS program in 2021, according tothe late...
More Part D Drugs Negotiated: In 2023,Medicare negotiated prices for 10 of the highest-spending, brand-name Part D drugswithout competitors, and it published prices in 2024. CMS will negotiate prices for 15 more drugs in 2025, with prices going into effect in 2027. How to Deal With ...
for this effort. A bipartisan bill passed the House of Representatives in late 2023 that provides statutory authority for the rules imposed by Trump’s executive order. It also extends the requirements to labs, ambulatory surgical centers, and imaging service providers that participat...