By Greg Gierer, MPP During Medicare’s upcoming open enrollment period, which begins on October 15, seniors will have the opportunity to choose between the coverage options available to them. More than 29 million seniors and…
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Direct Contracting and Medicare Advantage: Understanding the Differences
August 3, 2022
By Jonathan Frank When individuals become eligible for Medicare, they face an important decision: whether to enroll in fee-for-service (FFS) Medicare – sometimes called Traditional Medicare – or Medicare Advantage. As our 2022 State of…
Better Medicare Alliance Responds to Energy and Commerce Oversight Subcommittee Hearing on Medicare Advantage
June 28, 2022
by Mary Beth Donahue Today the House Energy and Commerce Committee’s Subcommittee on Oversight and Investigations held a hearing on Medicare Advantage, entitled “Protecting America's Seniors: Oversight of Private Sector Medicare Advantage Plans." Lawmakers were…
A Closer Look at Medicare Advantage’s Value to Seniors and Taxpayers: A Response to Health Affairs
June 14, 2022
By Greg Gierer, MPP As Congress and policymakers consider potential reforms to Medicare, there’s no shortage of viewpoints and proposals to consider. Earlier this month, the 2022 Medicare Trustees Report showed an improvement in the…
A Deeper Dive on Prior Authorization in Medicare Advantage
May 6, 2022
By Mary Beth Donahue Recently an HHS Office of Inspector General (OIG) report and accompanying New York Times article raised questions about the use of prior authorization in Medicare Advantage. While there are over 28.5…
Separating Fact from Fiction on Medicare Advantage EGWPs
March 21, 2022
by Mary Beth Donahue and Andrew MacPherson A few months ago, you would be forgiven for thinking that an EGWP (pronounced “egg whip”) is a breakfast dish, rather than a valued health coverage option. But,…