The concept of letting private insurers run Medicare isn't new. Former House Speaker Newt Gingrich, a Republican, asserted in 1995 that traditional Medicare would fade away if its beneficiaries could pick between the original program and private plans. The shift to Medicare...
DETROIT LAKES — With Medicare open enrollment now underway, big changes are coming for 2025, according to a news release from the Minnesota Board on Aging. Starting in January, some health care providers may no longer be “in-network” for certain Medicare Advantage Plans. New benefits from ...
Medicare Advantage plans are built on contracts between the federal government and private insurance companies, in which the federal government gives money to the insurance company to “manage” patient care. Because insurance companies charge the federal government for patient care, Medicare Advantage wi...
Changes to Medicare AdvantageOver the next 10 years, the new health-care law will divert some $132 billion from Medicare Advantage, sparking concern that it may reduce benefits, raise premiums, or both.Anne Tergesen
The Trump administration promoted Medicare Advantage in emails during the program's open enrollment period each year, but support for the privately run plans has become bipartisan as they have grown. "It helps inject needed competition into a government-run program and has proven to be more popula...
CMS released its Advance Notice of Methodological Changes for Calendar Year (CY) 2025 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies.
Under the Affordable Care Act, “persons” such as providers, suppliers, Medicare Advantage plans, and Part D sponsors that receive an overpayment are required to report and return the overpayment, accompanied by a written notification of the reason for the overpayment.[1] An “overpayment” is ...
Download this guide to changes in our 2020 ConnectiCare Medicare Advantage plans that affect you and your patients. Please share it with your staff.
3. Standalone Part D Plans May Change Your Costs or Coverage For Part D drug plans sold outside of Medicare Advantage, the news about costs is also mixed. Nationwide, the average projected Part D standalone premium fell from $41.63 in 2024 to $40.00 in 2025.3 ...
If you're on one of those fancy plans that cover prescriptions with a $0 premium, you're in luck.Medicare Advantageplans are keeping their premiums steady, unlike PDPs, where costs are increasing. Promises have been made to keep those premium hikes to a "modest" $35 a month--but still...