Medicare Advantage Enrollment Up Over 1 Million Year Over Year

Over 13.3 million people were enrolled in Medicare Advantage (MA) plans as of February 2012, 27% of the 49.3 million people eligible for Medicare, according to data from The Centers for Medicare and Medicaid Services (CMS). Aggregated enrollment in MA plans increased by 1.151 million
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Circuit Court: Individuals cannot disclaim entitlement to Medicare Part A

KAVANAUGH, Circuit Judge: This is not your typical lawsuit against the Government. Plaintiffs here have sued because they don’t want government benefits. They seek to disclaim their legal entitlement to Medicare Part A benefits for hospitalization costs. Plaintiffs want to disclaim th
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ACOS: The fix to a fragmented system?

There are serious issues with our health care system and even more question as how to fix it. Accountable care organizations aim to directly address the problems plaguing health care, including cost, quality and satisfaction. They’re also an integral component to health care reform. B
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Betting on Private Insurers

Just-released estimates of national health spending in 2010 by the Centers for Medicare and Medicaid Services (CMS) show that 45% of our health care spending is financed by the federal and state governments, primarily through the Medicare and Medicaid programs. This share has grown te
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Accountable Care Organizations: Proceed With Caution (Especially Nonprofit Hospitals)

One of the lesser publicized provisions of the Affordable Care Act creates “accountable care organizations” or “ACOs” ACOs are a new healthcare delivery model for Medicare beneficiaries that attempts to address the well known problem with the current , procedure-based Medicare billing
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Medicare Overpaid Insurers $3.1 Billion in 2010 on U.S. Errors

Jan. 27 (Bloomberg) — Insurers offering Medicare health plans were overpaid by the U.S. as much as $3.1 billion in 2010 because the government miscalculated how sick beneficiaries were, federal auditors said. Read More..
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Medicare Advantage premiums down 7 percent on average, enrollment up 10 percent

Medicare Advantage premiums have fallen by 7 percent on average and enrollment has risen by about 10 percent since this time last year, HHS Secretary Kathleen Sebelius announced today. The enrollment numbers confirm projections from last September that enrollment in Medicare Advantage
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This study examined the consequences of adding a fitness-membership benefit on the self-reported health status of enrollees in Medicare Advantage plans. Using a quasi-experimental design, we found that persons enrolling in plans after the addition of a fitness-membership benefit repor
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Insurers Offer Gym Memberships With Medicare Programs

The offer of a fitness club membership is helping insurers including UnitedHealth Group Inc. (UNH) and Humana Inc. (HUM) draw healthier and less costly patients to their Medicare programs, said researchers reporting in the New England Journal of Medicine. Read More..
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2012: A Year of Huge Uncertainty in Health Care Policy

2013 may be the most significant year in health care policy ever. But we have to get through 2012 first. Once the 2012 election results are in there will be the very real opportunity to address a long list of health care issues. If Republicans win, the top of the list will include “re
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