In recent years, the Medicare Advantage (MA) markets have experienced accelerated growth, reaching a market penetration of 40.6% nationally as of October 2020. With more seniors than ever looking to MA to satisfy their health care needs, Medicare Advantage Organizations (MAOs) have expanded their ...
But many don't take the time to compare dozens of plans that can cover different drugs at different prices from different pharmacies — even when the effortcould save them money. In 2021, only 18% of Medicare Advantage drug plan enrollees and 31% of stand-alone drug plan memberschecked thei...
Medicaid Expansion President Joseph Biden’sAmerican Rescue Plan of 2021provided incentives for states to expand their Medicaid programs. These expansions would cover adults up to age 65 who have incomes at or below 138% of thefederal poverty level, which is $34,307 for a family of three in ...
Beginning in the 2021 contract year, CAHPS measures represent 32 percent (32%) of the overall Star Rating. Navigating how to improve these areas can be complicated, butResolve™ for Medicare Advantage Star Ratings, part of the Adhere Platform™, is an end-to-end tool that makes consumer-...
Irma Lerma Rangel School of Pharmacy, Texas A&M Health Science Center, 159 Reynolds Medical, College Station, TX 77843, USA * Author to whom correspondence should be addressed. † These authors contributed equally to this work.Healthcare 2024, 12(7), 722; https://doi.org/10.3390/health...
See if a particular drugis covered byANYMedicare Part D planin your state.Click here for an example of plans covering 10MG Atorvastatin [generic Lipitor] in Texas. See if a drugis covered byyour particularMedicare Advantage plan’s drug formulary.Click here for an example of AARP Medicare Advan...
This rule, stayed by a Texas district court in July 2024, highlights the scrutiny on broker channels and aligns with recent governmental actions to crack down on bad actors. Historically, broker compensation entailed CMS-regulated enrollment and renewal commissions to the agent plus a bundled fee ...
While Alabama, Michigan, and Florida had the highest level of Medicare Advantage penetration among the states, districts in Florida, New York, Texas, Louisiana, and Pennsylvania had the top ten highest penetration among all of the congressional districts. ...
But many don’t take the time to compare dozens of plans that can cover different drugs at different prices from different pharmacies — even when the effort could save them money. In 2021, only 18% of Medicare Advantage drug plan enrollees and 31% of stand-alone drug plan members checked...
Now let’s look at another project, this one in Dallas, Texas. …the original Parkland Hospital was built in Dallas to serve the young city’s indigent population. …its aging facilities could no longer meet the demand of 1 million patients admitted each year. …The project to rebuild Parkl...