Medicare Advantage
VIDEO: Nephrologists face potential pay cuts, additional issues in 2023
NEW ORLEANS — In this interview from the Renal Physicians Association Annual Meeting, Robert Blaser discusses the potential challenges nephrologists may face in 2023.
AAO urges CMS to suspend Medicare Advantage prior authorization processes
The American Academy of Ophthalmology has urged CMS to suspend Medicare Advantage prior authorization processes due to the delays they create for cataract surgeries and routine services.
CMS prior authorization proposal is ‘a good start’ but may not go far enough
The AMA and 118 other leading medical societies recently announced that they have united in support of CMS’ prior authorization reform proposal.
Glucagon use declines from 2011 to 2021 among adults with diabetes
Fewer people with diabetes filled glucagon prescriptions in 2021 compared with 2011, though increases were seen among those with type 1 diabetes and adults with a history of severe hypoglycemia, according to study data.
Study finds mismatch between negotiated prices of TJA and quality of care
Published results found inconsistencies between mean prices insurers negotiate for total joint arthroplasty and hospital-provided quality of care.
Medicare Advantage beneficiaries face higher mortality risk after complex cancer surgery
Medicare Advantage beneficiaries who required surgery for stomach, pancreas or liver cancers had lower access to high-volume hospitals than those enrolled in traditional Medicare plans, according to study results.
Poll: Medicare customers say plans need more mental health, substance abuse coverage
According to a recent poll, overall customer satisfaction with Medicare Advantage plans has increased, yet a majority of plan members say they do not have enough coverage for mental health and substance use disorder services.
Q&A: Dialysis providers charge Medicare Advantage plans more than Medicare
Due to a highly consolidated market, large dialysis providers charge Medicare Advantage plans 27% more for dialysis services than what is charged for Medicare.
Newer diabetes drugs prescribed less often for Medicare Advantage vs. traditional plans
Despite having greater access to preventive care, Medicare Advantage beneficiaries had poorer intermediate health outcomes and were less likely to receive newer diabetes drug therapies compared with those with fee-for-service Medicare.
Medicare will cover free at-home COVID-19 tests for beneficiaries
Beginning in early spring, beneficiaries of original Medicare and Medicare Advantage plans will be eligible to receive free over-the-counter COVID-19 tests, according to CMS.