The article reports on the challenge facing the Medicare Advantage companies in Puerto Rico as the cutting of capitation is now being discussed in the U.S. As part of the national health reform, capitation for Medicare Advantage plans would be cut significantly. According to José R. Mirab...
Medicare Part C (Medicare Advantage) annual deductible This cost is the amount you may have to pay before the Medicare Advantage plan covers services. As with otherMedicare Advantage costs, it may be different from one plan to the next. ...
The undeniable story of early 2024for US health insurers has been the sustained economic pressures that Medicare Advantage (MA) payers are experiencing. This was borne out in 2023 year-end financial results, with several MA payers pointing to inpatient and outpatient care utilization being higher th...
There are a few disadvantages of Medicare Advantage plans, including dealing with a limited network, being limited to medical care in your geographical area and paying for unexpected out-of-pocket expenses. What are the pros and cons of Medicare Advantage vs. Original Medicare?
Medicare Advantage, also known as Medicare Part C, is an alternative way to receive Medicare benefits. It is offered by private insurance companies approved by Medicare. Medicare Advantage plans combine the coverage of Medicare Part A (hospital insurance) and Part B (medical insurance),...
Figure 2. Socioeconomic and Racial/Ethnic Disparity in Simulated Star Rating by Decile of Low Socioeconomic Status (SES) or Race/Ethnicity Within the Medicare Advantage Contract View LargeDownload Each point represents the disparity in star rating between each group (low SES and high SES or Black...
According to the CMS press release, Medicare Advantage premiums continue to decline while plan choices and benefits increase in 2019 ; Medicare Advantage average monthly premiums will decrease 6% from 2018, falling to $28. Enrollment is projected to experience 11.5% growth over 2018. In addition, ...
Medicare Star Ratingsare designed to help seniors compare Medicare Advantage plans when deciding which plan to enroll in. They range from one to five stars, with one being the lowest rating and five stars the highest. And they are based on up to 38 unique quality and performance measures, in...
Medicare Advantage can be an alternative to a Medigap policy and Part D coverage. It's important to look at your own circumstances and determine which type of plan isbetter for you. If you already have a Medicare Advantage plan, Medigap is not an option—in fact, it is illegal for some...
Early, Denise