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.

Data Visualization

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 recibiendo ayuda adicional con la prima de mi Parte D y el costo compartido. Recibí un aviso de que mi plan actual ya no se ofrecerá el próximo año. ¿Qué hago?

    FAQs

    Si califica para el subsidio que cubriría el costo total de su prima para su plan de medicamentos recetados de Medicare, está inscrito en el Medicare tradicional y su plan de medicamentos recetados actual no se ofrecerá el próximo año, Medicare lo reasignará automáticamente a un nuevo plan de medicamentos recetados para su cobertura en el próximo año. Pero no se lo reasignará automáticamente si su plan actual está terminando y eligió su plan actual.…

  • Estoy inscrito en un plan de medicamentos independiente de la Parte D de Medicare. ¿Debo hacer algo durante el Período de Inscripción Abierta de Medicare?

    FAQs

    Si está satisfecho con su cobertura actual y su plan continuará ofreciéndose el próximo año, puede mantenerla y no necesita hacer nada durante el Período de Inscripción Abierta de Medicare. Su inscripción continuará automáticamente. Sin embargo, es posible que quiera comparar su cobertura actual con otras opciones de planes en su área para ver si puede obtener una mejor cobertura al cambiar de plan durante el Período de Inscripción Abierta de Medicare. Los planes de…

  • Health Care and the 2020 Presidential Election

    Feature

    This side-by-side comparison examines President Trump’s record and former Vice President Biden’s positions across a wide range of key health issues, including the response to the pandemic, the Affordable Care Act marketplace, Medicaid, Medicare, drug prices, reproductive health, mental health and opioids, immigration and health coverage, and health care costs.

  • President Trump’s Record on Health Care

    Issue Brief

    This issue brief provides a detailed overview of the Trump Administration’s record on health care issues relating to: the Administration’s response to the COVID-19 pandemic, the ACA and private insurance markets, Medicaid, Medicare, reducing prescription drug and other health care costs, sexual and reproductive health, mental health and substance use, immigration and health, long-term care, HIV/AIDS policy, and LGBTQ health.

  • Medicare Advantage 2021 Spotlight: First Look

    Issue Brief

    For 2021, the average Medicare beneficiary has access to 33 Medicare Advantage plans, the largest number of options available in the last decade, and can choose from plans offered by eight firms. Among the majority of Medicare Advantage plans that cover prescription drugs, 54 percent will charge no premium in addition to the monthly Medicare Part B premium. As in previous years, the vast majority of Medicare Advantage plans will offer supplemental fitness, dental, vision,…

  • Can I be charged a higher premium for a Medigap policy if I have a pre-existing condition or if I smoke?

    FAQs

    It depends. If you are applying for a Medigap policy during your initial Medicare enrollment period, then regardless of your past or current health problems, you are guaranteed the right to purchase any Medigap policy at the same premium the offering company charges other people your age. Some policies may make you wait up to six months before covering a pre-existing condition, and some may offer “discounts” for non-smokers. If you are applying for a…

  • Data Note: Prescription Drugs and Older Adults

    Issue Brief

    This data note explores the attitudes and experiences of older adults, ages 65 and up, when it comes to prescription drugs and related policy proposals being discussed. Experiences across different demographic groups are explored, such as household income and health status.