Medicare

Biden Would Make Big Changes In How Medicare Hospital Insurance Is Funded

In his budget due to be released tomorrow, President Biden will propose major changes in the way Medicare’s Part A hospital insurance program is funded. To ensure the program’s solvency, he’d shift hundreds of billions of dollars in tax revenues and allocate $200 billion in cost savings from other parts of Medicare to the hospital insurance (HI) trust fund. Biden’s [...]

By |2023-03-08T11:12:51-05:00March 8th, 2023|Medicare|0 Comments

More Medicare Advantage Plans Are Offering Extra Supports For Frail Seniors

Half of Medicare beneficiaries, about 30 million people, are enrolled in Medicare managed care plans such as Medicare Advantage (MA). And increasingly those plans are offering modest, but important, non-medical services to older adults living at home. These supplemental services are the only long-term care-type benefits most seniors will receive through Medicare. The assistance may include anything from meal and [...]

By |2023-02-28T10:41:53-05:00February 28th, 2023|Medicare|0 Comments

Should You Enroll In A Medicare Advantage Plan?

It Is Medicare open-enrollment season. And retirees are confronting the usual confusion about what to do. Perhaps the biggest question: Should I enroll in a Medicare Advantage managed care plan or in traditional, fee-for-service Medicare? Like almost everything in the world of insurance, the answer is: It depends. In 2022, almost half of all Medicare beneficiaries were enrolled in MA [...]

By |2022-11-01T10:25:47-04:00November 1st, 2022|Medicare|0 Comments

Medicare Advantage Plans Have Great Promise But They Are Not Delivering

Medicare Advantage (MA) managed care plans have the potential to vastly improve care for older adults in the US. A fully-integrated health model that combines primary and specialty care, physical therapy, hospital care and even some limited personal supports could improve the quality of life for patients and save the government a substantial amount of money. But increasingly, analysts say [...]

By |2022-06-15T10:18:56-04:00June 15th, 2022|Medicare|0 Comments

A Two-Year Reprieve For Medicare Insolvency Sounds Like Good News. But It Isn’t

The Medicare trustees’ new estimate that the program’s Part A Hospital Insurance (HI) Trust fund will remain solvent for an extra two years—to 2028—sounds like good news. But dig deeper into the 257-page report and the news is grim for the future of Medicare and its 64 million beneficiaries. Headlines from the trustees’ annual report always focus on the depletion [...]

By |2022-06-08T10:22:22-04:00June 8th, 2022|Medicare|0 Comments

Medicare Advantage Plans Get A Big Pay Hike, Offer More Services And Supports For Older Adults

Medicare Advantage managed care plans, which in 2021 covered 26 million enrollees, will get an average 8.5 percent increase in total Medicare payments next year. At the same time, MA plans are rapidly embracing a wide range of social services and supports for older adults living at home. Sometimes called long-term care lite, these benefits range from meal and food [...]

By |2022-04-05T16:26:55-04:00April 5th, 2022|Medicare|0 Comments

Adding Dental, Vision, And Hearing To Traditional Medicare Would Be Expensive, But Important

Congressional Democrats are expected to include a broad expansion of traditional Medicare benefits-- including dental, vision, and hearing—in a $3.5 trillion social spending bill they’ll consider later this year. The move would be the biggest expansion of Medicare since Congress added a drug benefit in 2003 and would go a long way toward improving the health and well-being of millions [...]

By |2021-07-22T10:47:23-04:00July 22nd, 2021|Medicare, Uncategorized|3 Comments

Congress Moves To Fix Medicare Enrollment, But Misses The Biggest Problem

In its massive end-of-year spending bill, Congress slipped in some important changes that may improve Medicare coverage for hundreds of thousands of older adults who don’t enroll when they first are eligible. Unfortunately, lawmakers only did half the job. The changes will help, but Congress chose to ignore the real cause of the problem. This is complicated, just like everything [...]

By |2021-01-08T11:15:08-05:00January 7th, 2021|Medicare|4 Comments

Medicare Enrollees Shouldn’t Expect Any Benefit From Trump’s Drug Pricing Rules

Late last week, President Trump announced two new rules that he said would save Medicare enrollees billions of dollars in drug costs. They are unlikely to save a nickel. While there is a lot less to these new rules than President Trump claims, the real question is what steps President-elect Joe Biden and a divided Congress will take to lower [...]

By |2020-11-23T14:06:30-05:00November 23rd, 2020|Medicare|0 Comments

Is Medicare’s New PDGM Home Care Payment Making It Harder To Get Physical Therapy?

No, PDGM is not a new disease. It is, instead, the way Medicare now pays for home health care. Shorthand for The Patient-Driven Groupings Model, PDGM is the Trump Administration’s latest effort to reduce Medicare costs. And it appears to be making it much harder for some patients living at home to receive occupational, physical, and speech therapy. PDGM is [...]

By |2020-02-14T10:22:54-05:00February 14th, 2020|Medicare|1 Comment