Tag Archives: Medicare

Narrow networks in Medicare Advantage plans refuted in new study

The share of Medicare Advantage primary care physician plans with broad networks has increased and enrollment in these plans is growing even more, according to analysis published this month in Health Affairs. The study, which claims to be the first longitudinal and national analysis of MA primary care physician networks, used a claims-based method for… Read More »

CMS rule gives Medicare Advantage plans an edge over traditional Medicare

The Centers for Medicare and Medicaid Services today finalized payment updates to Medicare Advantage and Part D plans for 2020. MA rates increase 2.53 percent. This includes the phasing-in of a risk adjustment model that takes into account the number of chronic conditions a person has, according to CMS Administrator Seema Verma. CMS originally had… Read More »

Amid Medicare For All Talk, Insurance Industry Poll Says 66% Support 'Existing' System

Senator Kamala Harris, a Democrat from California, reacts while speaking during an event to launch presidential campaign in Oakland, California, U.S., on Sunday, Jan. 27, 2019.  Photographer: David Paul Morris/Bloomberg© 2019 Bloomberg Finance LP A new health insurance industry-backed poll shows two in three Americans “support the existing health care system” over a government-run healthcare… Read More »

Hospital chain to pay $260 million to settle criminal charges for defrauding Medicare

Health Management Associates agreed to pay more than $ 260 million and entered a deferred prosecution agreement to settle criminal charges for allegedly paying physicians kickbacks and defrauding Medicare, Medicaid and other federal programs, the Justice Department said Tuesday. HMA, which was acquired by the for-profit hospital Community Health Systems in 2014, allegedly paid physicians… Read More »