Medicare provides health insurance coverage to 65 million adults–nearly 20% of the U.S population—and is a major source of revenue for providers, including physicians and other clinicians. In 2022, Medicare…
Medicare Advantage enrollment has grown rapidly in recent years, and in 2023, more than half (51%) of all eligible Medicare beneficiaries are in a Medicare Advantage plan. Most Medicare Advantage…
With the Biden administration’s recent announcement of the first 10 drugs to be negotiated for Medicare as part of the Inflation Reduction Act (IRA), an array of legal challenges from…
Medicare provides health insurance coverage to 65 million people in the U.S., including 57 million older adults and nearly 8 million younger adults with disabilities. Coverage of Medicare benefits is…
People with Medicare have the option of receiving their Medicare benefits through the traditional Medicare program administered by the federal government or through a private Medicare Advantage plan, such as…
To encourage Medicare Advantage plans to compete for enrollees based on quality, the Affordable Care Act (ACA) established a quality bonus program that increases payments to plans based on a…
Medicare Advantage enrollment has been on a steady climb for the past two decades following changes in policy designed to encourage a robust role for private plan options in Medicare.…
Key Findings As a relatively new class of prescription drugs, initially approved to treat type 2 diabetes, have been gaining attention for their use as effective weight loss drugs, the…
Medicare and Medicaid provide health coverage to 12.5 million individuals who are enrolled in both programs, known as “dual-eligible individuals.” Medicare is their primary source of health insurance coverage, and…
Medicaid managed care organizations (MCOs) deliver care to more than two-thirds of all Medicaid enrollees nationally. Managed care plans often require patients to obtain approval of certain health care services…
