Medicare

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Decoding Medicare Advantage Coding Intensity

Federal payments to Medicare Advantage plans, and adjustments for health status, have come under increased scrutiny. This brief answers key questions about coding intensity, recent steps taken by CMS, the effects on beneficiaries, and other proposals to improve payment accuracy.

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The Facts About Medicare Spending

This interactive provides the facts on Medicare spending. Medicare, which serves 67 million people and accounts for 12 percent of the federal budget and 21 percent of national health spending, is often the focus of discussions about health expenditures, health care affordability and the sustainability of federal health programs. Explore data on enrollment growth, Medicare spending trends overall and per person, growth in Medicare spending relative to private insurance, spending on benefits and Medicare Advantage, Part A trust fund solvency challenges, and growth in out-of-pocket spending by beneficiaries.

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  • Tengo menos de 65 años y una discapacidad de larga data. Ya no trabajo y recibo beneficios por discapacidad del Seguro Social, ¿Soy elegible para Medicare?

    FAQs

    Depende de cuánto tiempo haya estado recibiendo pagos del seguro por discapacidad del Seguro Social (SSDI). Se le inscribe automáticamente en la Parte A y la Parte B de Medicare después de haber recibido pagos de SSDI durante dos años. Sin embargo, las personas con discapacidades que tienen esclerosis lateral amiotrófica (ELA) no tienen que esperar dos años y son elegibles para Medicare inmediatamente después de recibir el SSDI; y las personas con enfermedad renal…

  • ¿Cómo puedo averiguar si mi médico acepta Medicare?

    FAQs

    La mayoría de los médicos en los Estados Unidos aceptan Medicare. Para encontrar una lista de médicos en su área que reciben Medicare y aceptan no facturarle más del monto que Medicare aprueba por su visita, vaya al sitio web de Comparación de Médicos (Phsysician Compare) de Medicare y busque una marca de verificación junto a "pago aprobado" (Accepts Medicare Assignment). Si no tiene acceso a una computadora, también puede llamar al 1-800-MEDICARE (1-800-633-4227), o…

  • ¿Cómo puedo comparar mis opciones de cobertura de Medicare?

    FAQs

    Puede comparar sus opciones de cobertura de Medicare usando una herramienta de búsqueda en línea en el sitio web Medicare.gov, incluidos los planes Medicare Advantage, los planes de la Parte D de Medicare y las pólizas complementarias de Medigap. Puede obtener información sobre la cobertura, los costos y los beneficios de diferentes opciones de cobertura en su área en el sitio para comparar coberturas de Medicare. También puede inscribirse en un plan Medicare Advantage o…

  • Key Facts About Medicare Part D Enrollment, Premiums, and Cost Sharing in 2021

    Issue Brief

    The Medicare Part D program provides an outpatient prescription drug benefit to older adults and people with long-term disabilities in Medicare who enroll in private plans, including stand-alone drug plans and Medicare Advantage drug plans. This analysis provides the latest data about Part D enrollment, premiums, and cost sharing in 2021 and trends over time.

  • Two New KFF Analyses Show That a Relatively Small Share of Medicare Beneficiaries Compared Plan Options Or Switched Plans During a Recent Open Enrollment Period

    News Release

    As Medicare’s annual open enrollment period gets underway, two new analyses from KFF suggest that a relatively small share of the nation’s 65 million Medicare beneficiaries will shop around among the many coverage options for 2023 or switch plans. That decision could have a significant impact on enrollees’ coverage and costs. Results from one new KFF analysis show that only 3 in 10 beneficiaries (29%) compared their current plan with other Medicare plans offered during…

  • The Typical Medicare Beneficiary Has Close to 70 Different Medicare Advantage and Medicare Part D Stand-Alone Plan Options for 2023

    Feature

    The Medicare open enrollment period that runs from October 15 to December 7 each year is an opportunity for Medicare beneficiaries in traditional Medicare and Medicare Advantage to evaluate their current coverage, compare plans, and decide whether to make a change for the coming year. Beneficiaries can compare Medicare Advantage plans, mainly HMOs and PPOs, which provide all Medicare-covered benefits, typically including Part D drug coverage, and may offer other benefits such as vision, dental,…

  • How Does Use of Medicaid Wraparound Services by Dual-Eligible Individuals Vary by Service, State, and Enrollees’ Demographics?

    Issue Brief

    This issue brief describes the share of dual-eligible individuals with full Medicaid benefits who use wraparound services, including institutional LTSS, home- and community-based services (HCBS), vision services, dental care, and non-emergency medical transportation (NEMT); and how use of these services varies by state and select demographic characteristics of enrollees.