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Medicare Trying To Nudge Seniors Out Of Plans With Low Ratings
Medicare officials are trying a novel approach during this open enrollment season to gently nudge a half million beneficiaries out of 26 private drug and medical plans that have performed poorly over the past three years.
It begins with letters informing seniors they are enrolled in a plan that received low ratings."We encourage you to compare this plan to other options in your area and decide if it is still the right choice for you," the letter from Medicare urges. About 375,000 members of Medicare Advantage plans received the letters, along with 150,000 drug plan members in 48 states, the District of Columba and Puerto Rico, including California, Florida, Illinois, New Jersey, Ohio and Texas.
Read the full story: http://bit.ly/SUl3iN
Source: Kaiser Health News in collaboration with USA Today
What's at Stake as Oral Arguments Are Presented in the Braidwood Case? Q&A With Richard Hughes IV
April 21st 2025Richard Hughes IV, JD, MPH, spoke about the upcoming oral arguments to be presented to the Supreme Court regarding the Braidwood case, which would determine how preventive services are guaranteed insurance coverage.
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Varied Access: The Pharmacogenetic Testing Coverage Divide
February 18th 2025On this episode of Managed Care Cast, we speak with the author of a study published in the February 2025 issue of The American Journal of Managed Care® to uncover significant differences in coverage decisions for pharmacogenetic tests across major US health insurers.
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Comparing Breast Cancer Treatment Outcomes Between Fee-for-Service and Medicare Advantage
April 4th 2025This study examined postdiagnosis breast cancer treatment outcomes for Medicare Advantage vs fee-for-service (FFS) Medicare in Ohio and found no significant differences overall but disparities for Black patients with FFS Medicare.
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