On August 30, the Centers for Medicare and Medicaid Services (CMS) released performance results for the ninth performance year (2021) of the Medicare Shared Savings Program (MSSP). The 2021 data ...

Implementing the Medicare $2 drug list model would have reduced out-of-pocket spending by 63% for Part D beneficiaries in 2021. The model caps cost-sharing at $2 for a 30-day supply of 101 generic ...

The Medicare Shared Savings Program, by working with Accountable Care Organizations, saved Medicare $1.66 billion in 2021 compared to spending targets, the fifth consecutive year the program has ...

Intensive coding by Medicare Advantage (MA) plans raised enrollees' risk scores and may have allowed companies to pocket tens of billions of dollars more than if traditional Medicare had covered the ...

Differential coding in MA plans results in higher risk scores and increased payments compared to TM, with significant insurer variation. UnitedHealth Group's risk scores were significantly higher than ...

Medicare open enrollment ended on Monday, with preliminary data showing that more consumers are choosing Medicare Advantage plans for 2021 due to the plans' supplemental benefits. This is no surprise, ...

We were unable to process your request. Please try again later. If you continue to have this issue please contact [email protected]. In the United States, COVID-19 vaccinations may have ...

Medicare health insurance premiums can add up to major bucks — especially if you’re upper-income, married, and both you and your spouse are paying. This column lists the 2022 Medicare health insurance ...

Cost adjustments can affect premiums, deductibles and other cost-sharing aspects of Medicare. Beneficiaries who have limited income might qualify for Medicaid or other programs that reduce ...