In Rhode Island, as in other states, eligible people select between Original Medicare or Medicare Advantage and a Part D plan for prescription drugs.

Shifting from reducing MA capitation by an across-the-board coding intensity adjustment factor to Medicare Advantage ...

This article explores what a person needs to know about specific Medicare offerings in Wyoming, such as Medicare Advantage ... select a Part C or D plan in their area. CMS offers annual star ...

Note that star ratings for Part D plans tend to be lower, and 98% of enrollees have a plan with 3.5 stars or less. If you can't get a Medigap plan, cover your cancer treatment by choosing a Medicare ...

UnitedHealth brought in a record $400.3 billion in revenue in 2024 despite a string of crises for the nation’s largest healthcare company, including a massive cyberattack, heavy congressional ...

While the Medicare Advantage ... Advantage plans altogether. Meanwhile, changes to risk adjustment rules (i.e., V28) and Star Ratings thresholds (i.e., cut points) pose challenges for payers.

Will your care be denied? Medicare Advantage insurers use prior authorization to manage utilization and lower costs. How to ...

Medicare Advantage plans are popular, but some have limited provider networks, while and others require high cost sharing for ...

As the privatized form of Medicare, Medicare Advantage plans ... if beneficiaries had enrolled in traditional Medicare, a cost that is partially intended to fund supplemental benefit use.

Since expenditures are heavily skewed, the top 5 percent of patients by cost contribute a disproportionate amount to the mean ...