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UnitedHealth executives said they added 370,000 Advantage members during the open enrollment period that ended Dec. 7, which reflects growth of about 140% over the prior annual enrollment period. As the program grows in popularity, insurers clamor for a piece of the lucrative marketplace.
Editorial pages focus on these and other health issues.
The American Action Network, which received $2.5 million from PhRMA in 2018, derided House Speaker Nancy Pelosi’s drug pricing plan as socialism. The group is trying to build support for the House Republicans’ plan, which would not allow price negotiation but does cap out-of-pocket costs for seniors on Medicare.
The federal government, hospitals and physicians have been gravitating toward bundled payments, but new studies challenge the belief that they help achieve cost savings. Meanwhile, CMS is proposing changes to Medicare Advantage payments for 2021, including an increase in the percentage of patient “encounter data” used to calculate payments.
The position leading the agency’s Center for Medicare and Medicaid Innovation largely focuses on driving value-based care transformation across the country, Brad Smith says. CMS Administrator Seema Verma praised Smith as an “outside-the-box” thinker who will “help us build on the important work the Trump administration has undertaken to transform our healthcare system to deliver better value to patients.”
Opinion writers weigh in on the future of U.S. health care.
Editorial pages focus on these health topics and others.
The tool was launched to help beneficiaries better organize their medication lists. The potential breach was contained though to about 10,000 authorized users.
Opinion writers weigh in on these health topics and others.
Opinion writers weigh in on universal health care and other health issues.
An Inspector General report suggests that private insurers are combing through patients’ files and adding on conditions like diabetes to make the patient looks sicker than they were to get more money from the government. A spokeswoman for America’s Health Insurance Plans said the report is based on a type of data with well-documented challenges, and noted that the watchdog didn’t review medical records for the analysis.
It’s likely that Democrats are viewing House Speaker Nancy Pelosi’s drug pricing bill as a political tool rather than a realistic goal. The legislation is already being used in ads for vulnerable Democrats and candidates are planning to tout it as a main component of their health care agendas. “Republicans will spend the next year defending their decision to block Medicare from lowering prescription drug prices for everyone,” said Jesse Ferguson, a veteran Democratic messaging consultant. After Pelosi secured a deal with the progressive wing of her party, the House is set to vote on the bill on Thursday.
And Medicare officials hinted Friday that they would be amenable to providing a window for beneficiaries who are worried about their plans. Other news on Medicare focuses on: prescription drug prices, hospital and hospice payments, and increasing costs.
Eliminating the increase would produce cost savings for Medicare without hurting access to care or the willingness of ambulatory surgical centers to deliver services to Medicare beneficiaries, the Medicare Payment Advisory Commission ruled. In other news, Saturday is the deadline for Medicare enrollment, but some advocates are calling for flexibility because of the difficulties some beneficiaries have encountered while trying to sign up.
But the vote would give House Democrats an election talking point and let them show that they can govern despite the impeachment proceedings. The legislation would allow HHS to negotiate lower prices for up to 250 drugs per year, with the lower prices applied to people with private insurance as well as Medicare.
Opinion writers focus on ways to improve health care.
Editorial pages focus on how to combat rising health care costs.
Some plans can change dramatically year to year, experts say. The open enrollment for Medicare is coming to a close, but experts offer tips on how to navigate the tricky system in the last few days of the season.
Politico reports on the escalating feud between HHS Secretary Alex Azar and CMS Administrator Seema Verma and the disruptions people close to the situation say it has caused. Privately, Azar’s and Verma’s camps are pointing the finger at one another, and disclosures about Verma’s use of highly paid consultants to raise her personal profile exacerbated the tensions.
Editorial pages focus on these health issues and others.