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Medicare Advantage ( Medicare Part C, MA) is a type of health plan offered by Medicare-approved private companies that must follow rules set by Medicare. Most Medicare Advantage Plans include drug coverage (Part D). Under Part C, Medicare pays a sponsor a fixed payment. The sponsor then pays for the health care expenses of enrollees.
How Medicare Advantage plans are rated by CMS is also changing. CMS ranks each plan annually using a one-to-five-star scale, with five being the best, based on a variety of metrics.
Part D plans have had lower caps: $100 for initial enrollment and $50 for renewals. In 2025, the government will increase the compensation for initial enrollments in Medicare Advantage and Part D ...
A prior-authorization crackdown. Another pressure Medicare Advantage insurers are facing is a CMS crackdown on prior-authorization rules. Typically, Medicare Advantage plans keep costs down by ...
Centers for Medicare and Medicaid Services logo. Medicare is a federal health insurance program in the United States for people age 65 or older and younger people with disabilities, including those with end stage renal disease and amyotrophic lateral sclerosis (ALS or Lou Gehrig's disease). It was begun in 1965 under the Social Security ...
American Hospital Association v. Becerra, No. 20-1114, 596 U.S. ___ (2022) The Medicare Prescription Drug, Improvement, and Modernization Act, [1] also called the Medicare Modernization Act or MMA, is a federal law of the United States, enacted in 2003. [2] It produced the largest overhaul of Medicare in the public health program's 38-year history.
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