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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  • Estoy inscrito en un plan Medicare Advantage, y recientemente hice planes para viajar por los Estados Unidos. ¿Mi plan brindará la misma cobertura en todos los estados que visite?

    FAQs

    No necesariamente. Deberá comunicarse con la compañía que ofrece su plan para averiguar si los beneficios están disponibles fuera del estado. Si su plan no ofrece cobertura fuera del estado, puede haber otro plan ofrecido por la misma empresa que sí lo haga, o un plan similar ofrecido por otra empresa en su área. Sin embargo, si decide cambiarse a un plan diferente, tenga en cuenta que deberá esperar hasta el Período de Inscripción abierta…

  • Decidí no inscribirme en un plan de medicamentos de la Parte D cuando califiqué por primera vez para Medicare al cumplir 65 el año pasado, pero ahora quiero inscribirme en un plan de medicamentos durant...

    FAQs

    Sí, puede inscribirse en un plan de la Parte D durante el Período de Inscripción abierta de Medicare. Sin embargo, es posible que también deba una multa por inscripción tardía porque no se inscribió en la cobertura de medicamentos de la Parte D cuando se volvió elegible por primera vez para Medicare. La multa es igual al 1% del monto de la prima promedio nacional por cada mes que no tuvo una cobertura tan buena…

  • Tengo 60 años y he estado recibiendo pagos del seguro por discapacidad del Seguro Social (SSDI) durante dos años. Mi cobertura de Medicare acaba de comenzar y me gustaría obtener una póliza de seguro su...

    FAQs

    Depende del estado donde vivas. Algunos estados exigen que las aseguradoras vendan pólizas complementarias de Medigap a personas menores de 65 años, pero no todos lo hacen. Algunas compañías de seguros aún pueden vender pólizas Medigap de manera voluntaria a personas menores de 65 años, incluso en estados que no lo exigen. Sin embargo, las primas pueden ser mucho más altas que para las personas de 65 años y más. Si no tiene cobertura de…

  • Poll: Nearly Half of Adults Would Be Interested in Prescription Weight-Loss Drugs, But Enthusiasm Fades Based on Lack of Coverage and Risk of Regaining Weight 

    News Release

    Nearly half (45%) of the public are at least somewhat interested in taking a prescription weight-loss drug, including many who say they only want to lose a little weight, though many people lose interest when presented with potential financial and medical drawbacks, the latest KFF Health Tracking Poll reveals.The poll gauges the public’s interest in using prescription drugs to lose weight as a relatively new class of drugs, initially approved to treat diabetes, is garnering…

  • How Health Insurers and Brokers Are Marketing Medicare

    Report

    To capture the state of television marketing activities and consider the implications for people with Medicare, KFF analyzed ad data compiled by the Wesleyan Media Project, that were obtained from Vivvix (formerly Kantar) CMAG, a data analytics and consulting firm, and were coded by the Wesleyan Media Project in collaboration with KFF. The data set included all English-language TV ads that aired across national and local markets on broadcast television or national cable, from October…

  • The Small Share of Employers Offering Retiree Health Benefits Are Increasingly Turning to Medicare Advantage

    News Release

    Few employers offer retiree health benefits, and those that do increasingly are turning to Medicare Advantage plans to provide that coverage – a shift that has implications both for retirees and for federal spending, finds a new KFF analysis. Among the relatively small share of large firms (200 or more workers) that offer retiree health benefits to Medicare-age retirees, half (50%) provide these benefits through a Medicare Advantage plan in 2022, according to the analysis…

  • Extra Benefits Offered by Medicare Advantage Firms Vary

    Issue Brief

    Nearly all enrollees in Medicare Advantage plans sponsored by the seven largest firms in the market are in a plan that offers some vision, hearing, fitness, and/or dental benefits. Other benefits, including over the counter, remote access technologies, meals, acupuncture and transportation, vary widely across firms, and in-home support services, bathroom safety, Part B rebates, telemonitoring and caregiver support are relatively uncommon

  • Health News Index – May/June 2002

    Poll Finding

    Health News Index May/June, 2002 The Health News Index measures public attention to and knowledge about leading health stories covered in the news in April and May, including discussions in Congress about a Medicare prescription drug benefit and warnings by medical researchers about possible harmful side effects of newer prescription drugs compared to older, similarly effective drugs. The Health News Index is designed to help news media and people in the health field gain a…

  • Medicaid and HIV/AIDS Policy: A Basic Primer

    Report

    The Medicaid Primer presents in depth information on Medicaid, the federal/state program that provides health coverage for low-income families and people with disabilities and is the largest source of public financing for HIV/AIDS care in the U.S. The Medicaid Primer is designed to help policymakers and advocates navigate through the complexities of Medicaid with regard to the program's role for people with HIV/AIDS. REPORT Download

  • Medicare and Prescription Drugs: A Chartpack

    Report

    This chartpack presents a brief overview of the state of prescription drug coverage among the Medicare population. It reviews the impact of lack of coverage on beneficiaries' access to prescription drugs, as well as current levels of total and out-of-pocket spending on prescription drugs. Chart Pack