Medicare Part B spent $9.3 billion on laboratory tests in 2021, a recent report from the Office of Inspector General (OIG) found. This represents a 17% increase from 2020, when spending was at $8 ...
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 ...
Low-income Medicare beneficiaries rely on Medicaid for supplemental coverage but must meet income and asset tests to qualify. We examined states’ income and asset tests for full-benefit Medicaid ...
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 ...
In 2022, the Medicare Part B standard premium will increase from $148.50 to $170.10. This $21.60 increase (14.5%) is the largest since the Medicare program began in 1965 and much higher than was ...
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