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#Medicare Advantage

MedicalXpress

No advantage to Medicare Advantage seen in heart attack survival

Nearly half of Americans with Medicare now get their health insurance coverage through a private company that takes part in the federal government's Medicare Advantage program. But choosing one of these plans doesn't give as much of an advantage over traditional Medicare as it once did, a new study shows—at...
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What To Do if You Miss Medicare's December 7 Deadline

The Medicare Annual Election Period is ending on December 7 but there are some things you can do if you missed the deadline. According to Jae Oh, author of Maximize Your Medicare, existing Medicare Advantage members have another enrollment period in Q1. They can change from a Medicare Advantage plan to another or make changes to their existing plan during this time. “There can be reasons for this. [For example,] you find out that a doctor is no longer in the network and would result in a higher out of pocket cost,” Oh says. “In other words, it's not only because of pure procrastination.”
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seniorresource.com

The Ins & Outs of Medicare’s Lifetime Reserve Days

What are “lifetime reserve days?” Medicare expert, Toni King explains the ins and outs of what Medicare pays for a hospital stay. Listen to more Medicare Moments on the Senior Resource Podcast Network!. Medicare Moments Podcast with Toni King. Keep an eye out for future Medicare Moments Podcasts!...
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physiciansweekly.com

Albuminuria Testing and Nephrology for Insured US CKD Patients

Estimated glomerular filtration rate (eGFR) and albuminuria must be evaluated in patients with chronic kidney disease (CKD) in order to properly stratify risk and decide whether or not a referral to a nephrologist is required. If the eGFR is less than 30 ml/min/1.73m2 or the urine albumin/creatinine ratio is greater than or equal to 300 mg/g, a referral to nephrology is suggested by the Kidney Disease: Improving Global Outcomes clinical practice guidelines for CKD. Patients with chronic kidney disease (CKD) who were being closely monitored by their primary care physicians were discovered using a nationwide claims database of US citizens covered by commercial insurance or Medicare Advantage. Researchers looked at how often these individuals visited a nephrologist over the course of a year and how that number varied by eGFR and albuminuria stage.
WPRI

Medicare Advantage plans for 2023

Still, considering your options for a Medicare plan? All Blue Cross & Blue Shield of Rhode Island (BCBSRI) Medicare Advantage plans were once again awarded 5 stars for 2023, which is the highest rating available from the Centers for Medicare & Medicaid Services. Today, December 7, is the last day of the Medicare Annual Election Period (AEP), and Melissa Cummings, BCBSRI Chief Customer Officer, explains that there is still plenty of help available.
RHODE ISLAND STATE
beckerspayer.com

Medicare Advantage in the headlines: 9 recent updates

Medicare Advantage plans have faced scrutiny for possible upcoding and pressure to update provider directories. Here are nine Medicare Advantage updates Becker's has reported since. Nov. 18. The HHS' Inspector General's Office released audits of nine Medicare Advantage plans over the last six months, according to the organization's semiannual report...
OHIO STATE
KETV.com

Visiting Nurses Association's Omaha drive-thru flu shot clinic

OMAHA, Neb. — To help fight the high flu rates, the Visiting Nurses Association is holding a drive-thru flu clinic. It'll be Saturday, Dec. 10 from 11 a.m. to 1 p.m. at the VNA's headquarters, near West Center Road and South 125th Avenue. Anyone who gets a flu shot...
OMAHA, NE

Medicare open enrollment is about to close. Here's what to know.

Seniors have one more day to make changes to their Medicare plans, including picking a new Medicare Advantage plan, with open enrollment for the program closing at the end of December 7. Medicare Advantage plans are increasingly popular with seniors, with nearly half of Medicare-eligible Americans opting for one of...
kernvalleysun.com

Finally Over!

Unless you are reading this article before 5 p.m. Wednesday, it is too late to make changes to your Medicare Advantage HMO plan, or your Medicare Prescription Drug Plan (PDP). Or is it?. Yes, the PDP enrollment is over. Any plan changes will need to wait until Oct. 15, 2023,...
KERN COUNTY, CA
acasignups.net

Over 90% of Medicaid is now privately administered?

November 29th, 2022, via the Centers for Medicare & Medicaid Services:. Today, the Centers for Medicare & Medicaid Services (CMS) released the latest enrollment figures for Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). These programs serve as key connectors to care for more millions of Americans. As...
MISSOURI STATE
Citrus County Chronicle

HOT CORNER – MEDICARE

This is for the gentleman who was unhappy that Medicare doesn’t cover the shingles vaccine (Sunday, Dec. 4’s Page C3 Sound Off, “Medicare coverage isn’t great”). Medicare A and B does not cover the shingles vaccine, but Medicare Part D does. And starting Jan. 1, there will be no co-pay for the shingles vaccine if you have Medicare Part D. Some Medicare Advantage plans also cover shingles. So I hope you can get this in the paper by Wednesday, because that’s when the open season for Medicare ends. So, good luck to this gentleman.
Yakima Herald Republic

7 Ways to Score Free Dental for Seniors on Medicare

Affording dental work can be tough if you’re an older American on Medicare. That’s because Original Medicare — which covers a majority of beneficiaries — doesn’t include routine dental care. The Centers for Medicare & Medicaid Services announced plans to begin covering limited dental services...
WISCONSIN STATE
ehrintelligence.com

AHA Asks CMS to Halt National Healthcare Provider Directory Operation

Earlier this month, CMS published an RFI on establishing the first national directory of healthcare providers and services (NDH) that could serve as a data hub for healthcare providers, facilities, and entities nationwide. Although patients already use provider directories to locate and research healthcare providers, the fragmentation of current provider...
healthcaredive.com

CMS proposes new prior authorization requirements for payers, including MA plans

The CMS has issued a new rule meant to streamline prior authorization by requiring certain payers to implement an electronic prior authorization process and respond to requests more quickly. The rule would also require payers to put in place standardized data exchange processes, to help them exchange data when a...
ThinkAdvisor

Medicare Is Changing

Your article was successfully shared with the contacts you provided. Medicare Part B premiums will go down. Clients who stay in the hospital for a long time and have no coverage other than Original Medicare could face enormous bills. The Medicare drug plan deductible is almost twice as big as...
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