View the Latest: Medicare Advantage
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Medicare Advantage Plans, by Plan Type
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Final Prior Authorization Rules Look to Streamline the Process, but Issues Remain
Issue BriefThis brief examines the final CMS regulations governing prior authorization in Medicare Advantage, Marketplace, Medicaid, and other plans, how they might address some current consumer concerns, and some issues that remain.
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Medicare Advantage 2025 Spotlight: A First Look at Plan Offerings
Issue BriefThis brief provides an overview of the Medicare Advantage plans that are available for 2025 and key trends over time. The average Medicare beneficiary will have the option of 34 Medicare Advantage prescription drug (MA-PD) plans in 2025, 2 fewer than the 36 options available in 2024. The average Medicare beneficiary can choose among plans offered by 8 firms in 2025, the same as in 2024.
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Medicare Advantage 2025 Spotlight: A First Look at Plan Premiums and Benefits
Issue BriefThis brief provides an overview of premiums and benefits in Medicare Advantage plans that are available for 2025 and key trends over time. Two-thirds of all Medicare Advantage plans with Part D prescription drug coverage (MA-PDs) (67%) will charge no premium (other than the Part B premium) in 2025, similar to 2024 (66%). Nearly all Medicare Advantage plans (97% or more) are offering vision, dental and hearing, as they have in previous years. However, the…
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Medicare Program Integrity and Efforts to Root Out Improper Payments, Fraud, Waste and Abuse
Issue BriefThis brief explains fraud, waste, abuse, and improper payments in Medicare and describes actions to ensure Medicare program integrity.
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Medicare Advantage: Special Needs Plan (SNP) Enrollment, by SNP Type
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Medicare Beneficiaries Have 32 Medicare Advantage Prescription Drug Plans Available, on Average, for 2026
Policy WatchMedicare beneficiaries will have 32 Medicare Advantage plans with prescription drug coverage available to choose from, on average, in 2026.
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Medicare Advantage Enrollees Have Access to About Half of the Physicians Available to Traditional Medicare Beneficiaries
Issue BriefMedicare Advantage enrollees were in a plan that included just under half (48%) of all physicians available to traditional Medicare beneficiaries in their area in 2022, on average. The limitations of provider networks illustrate one of the key tradeoffs for beneficiaries in choosing Medicare Advantage for their coverage.
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A Closer Look at the Growing Role of Special Needs Plans in Medicare Advantage
Issue BriefTo better understand the growing role of Special Needs Plans (SNPs) in Medicare Advantage, this brief examines SNP enrollment trends using recent Medicare Advantage enrollment data published by the Centers for Medicare and Medicaid Services (CMS).