Opioid use and the lack of treatment continues to be a concern for Medicare beneficiaries, with about 50,400 Part D beneficiaries experiencing an opioid overdose in 2021, a new report shows. The U.S.

Differential coding by Medicare Advantage plans appeared to have pushed their risk scores higher than traditional Medicare's scores. Those greater risk scores led to $33 billion in extra revenue for ...

The Medicare Shared Savings Program, by working with Accountable Care Organizations, saved Medicare $1.66 billion in 2021 compared to spending targets, the fifth consecutive year the program has ...

An increasing number of people with employer-sponsored insurance are covered by an insurer that offers Medicare Advantage in the state. Objectives: Commercial health insurers can participate in the ...

Even as the hospitals and health systems continue to battle with Medicare Advantage programs over reimbursement rates, customer satisfaction with MA plans is significantly higher than with commercial ...

Accountable care organizations saved Medicare $1.66 billion last year as value-based care providers brace for potential major changes to the program like new health equity measures. The Centers for ...

During the past year, the pandemic strained the entire health care system. Many health care providers experienced significant disruptions with reductions in use and lower revenue. Some providers were ...

The 60+ million Americans who are enrolled in Medicare will be paying significantly more in premiums this year than in 2021. But how about 2023 premiums? Did you know that what your Form 1040 includes ...

Intensive coding by Medicare Advantage (MA) plans raised enrollees' risk scores and may have allowed companies to pocket tens of billions of dollars more than if traditional Medicare had covered the ...