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3 selected articles

Setting the record straight on Medicare’s overhead costs ...

Setting the record straight on Medicare's overhead costs

Traditional Medicare's administrative costs were only 1% in 2010, but if you roll in the private insurers' Medicare plans, that figure jumps to 6%, says new study


Contact: Mark Almberg, communications director PNHP,  (312) 782-6006 ,

The traditional Medicare program allocates only 1...

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Date: 2018-03-24 09:12:07

Private insurers' Medicare Advantage plans cost Medicare ...

Medicare has contracted with private insurance plans - previously referred to as Medicare HMOs and now called Medicare Advantage plans - since 1985. Such plans, most of them for-profit, currently cover about 27 percent of Medicare enrollees and have been growing at a fast clip. UnitedHealth and Humana are among the largest players in this market, and together operate about one-third of such...

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Date: 2018-03-24 13:19:09

Another gimmick to overpay private Medicare Advantage ...

Today, the Centers for Medicare & Medicaid Services (CMS) released Part I of the 2019 Advance Notice of Methodological Changes for Medicare Advantage Capitation Rates and Part D Payment Policies (the Advance Notice), which contains key information about proposed updates to the Part C Risk Adjustment Model and the use of encounter data.

2019 Part C Risk Adjustment Model proposal

The 21st Century...

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Date: 2018-03-24 16:33:24

Related topics : medicare part b payment model / centers for medicare and medicaid services cms / centers for medicare & medicaid services cms / social security disability medicare advantage plans / medicare advantage capitation rate