Medicare Advantage
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Are Some Medicare Advantage Plans Using AI to Deny Care? Unfortunately, yes.
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STAT News recently published a series of articles exposing United Health’s misuse of algorithms to cut off rehabilitation care for older and disabled Americans enrolled in their plans, all while having their “profits soar”. In their most recent article, STAT News states: UnitedHealth Group has repeatedly said its algorithm (generated by UnitedHealth subsidiary NaviHealth), which…
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New Medicare Benefits & Changes Starting Jan 1, 2024
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2024 will bring some positive changes and expanded Medicare benefits. Below is a summary of some of these changes with references for more information. You can also view your 2024 Medicare & You handbook for more information. Prescription Drug Savings Starting January 1, 2024, if you have Medicare drug coverage (Part D) and your out-of-pocket…
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2024 Medicare Advantage and Part D plan star ratings are available
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Medicare’s Open Enrollment started Sunday, October 15 and runs through December 7. This is an important time to review any changes to your coverage in 2024 and look at your options to see if another plan or returning to Original Medicare is a better choice for you. One tool that can help in deciding whether or not…
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Survey Shows seniors find Medicare plan marketing confusing, overwhelming & Misleading
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With Medicare’s Open Enrollment just around the corner (Oct 15 – Dec 7), beneficiaries, their families, and caregivers across the country are bracing for the annual onslaught of advertisements, marketing and solicitations regarding Medicare Advantage, Medigap and Part D prescription drug plans. Many find the tsunami of information and marketing confusing, overwhelming and misleading, as…
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CMS’ New Final Rule Addresses MA Plan Marketing Misconduct, Barriers to Care & Promotes Health Equity
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With the extreme rise in Medicare Advantage (MA) plan marketing misconduct, and the ongoing mountain of prior authorizations and other barriers to care beneficiaries have long experienced in MA plans, the Centers for Medicare and Medicaid Services’ (CMS) new final rule announced in April is good news for all. The final rule will “strengthen Medicare…
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