Radar on Medicare Advantage

Study Observes Higher MA-to-FFS Switching Among Nonwhite, Disabled Enrollees

Previous research has suggested that disabled adults who rely on services such as home health and nursing home care are more likely to switch from Medicare Advantage to traditional, fee-for-service (FFS) Medicare. N...
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News Briefs

✦CMS at press time said it had approved more than 200 requests for state relief in response to the COVID-19 pandemic, including recent approvals for Alaska, Iowa, Hawaii, New Jersey, North Carolina, Pennsylvania, ...
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COVID Could Revolutionize How MAOs Address Isolated Seniors

Since COVID-19 reached pandemic status in mid-March, Medicare Advantage and other insurers have had to swap out many of their face-to-face interactions with members for telephonic and digital options. But for senior...
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MA Growth Drives Earnings Outlook Amid COVID Uncertainty

Insurers’ responses to the COVID-19 outbreak dominated recent first-quarter 2020 earnings calls, as did expected declines in utilization this quarter followed by a likely ramp-up of services later in the year, and...
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MA Plans Have Unique Opportunity to Guide the Suddenly Uninsured

As seniors during the coronavirus pandemic face issues such as loneliness, social isolation and food insecurity, an added source of stress for some may be trying to enroll in Medicare, especially if they or their sp...
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Trustees Say Pandemic Could Deplete Medicare Funds Sooner Than 2026

The Medicare Board of Trustees in its 2020 annual report projected that Medicare’s hospital insurance (HI) trust, which funds Part A payments, will be depleted by 2026, the same time frame the board pointed to in ...
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CMS Extends Additional Flexibilities to Ensure MA, Special Needs Plan Care During Pandemic

As Medicare Advantage plans seek ways to address isolated members’ social determinants of health during the COVID-19 pandemic (see story, p. 1), new guidance from CMS allowing midyear benefit changes and other fle...
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News Briefs

✦ Molina Healthcare, Inc. on April 30 said it entered into a definitive agreement to purchase Magellan Complete Care (MCC) for approximately $820 million, net of certain tax benefits. MCC is the managed care arm...
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Medicaid MCOs Brace for COVID-Related Enrollment Surge

As the COVID-19 pandemic continues to dominate the news cycle, headlines related to rising unemployment often underscore the impact to Medicaid, suggesting that a “Record number of unemployed Americans will stress...
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Amid Cost Unknowns, MAOs Will Get 1.66% Pay Increase

Facing a host of cost-related unknowns, Medicare Advantage organizations next year will be working with a slightly higher-than-expected pay increase, although CMS in its final MA and Part D rate notice made no adjus...
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