Medicare Part B Premium to Increase in 2025

The standard monthly premium for Medicare Part B — the part of Medicare that covers doctor’s visits, routine cancer screenings, home health care and other outpatient services — will be $185 for 2025, the Centers for Medicare & Medicaid Services (CMS) announced Nov. 8. This is an increase of $10.30 from 2024 and is similar to the nearly $10…

ACA Affordable Care Act

Affordable Care Act preventive services under threat: Previewing Braidwood oral arguments

A core provision of the Affordable Care Act (ACA), responsible for ensuring hundreds of millions of Americans receive free access to preventive services, faces a serious legal challenge March 4. On Monday, the Fifth Circuit Court of Appeals will listen to oral arguments for Braidwood v. Becerra. In September 2022, a lower court ruled that…

Latino, Black, Asian Medicare beneficiaries choosing MA over traditional Medicare

Latino, Black, Asian Medicare beneficiaries choosing MA over traditional Medicare

Medicare Advantage (MA) plans serve more marginalized and disadvantaged communities than fee-for-service (FFS) plans, according to a report from research firm ATI Advisory, building on previous research that MA enrollees face unique challenges. Latino beneficiaries are most likely to enroll in MA, followed by Black and Asian beneficiaries. Of the Medicare population, 69% of Latinos…

HNC-Senior-Meeting
| |

What Does A Health Insurance Broker Do?

If you’re in the market for health insurance, you may want to consider purchasing a plan through a health insurance broker. While they’re by no means the only option, health insurance brokers are a popular resource for a variety of customers looking for help in finding the right policy for them. So what do brokers…

Bright Health weighs reverse stock split as delisting looms
| |

Bright Health weighs reverse stock split as delisting looms

Bright Health Group is mulling a reverse stock split after it shares dipped below the price threshold to remain listed on the New York Stock Exchange, the health insurance company announced Monday. The insurtech received a notice from the New York Stock Exchange Dec. 6 that, because its average stock price has been below $1…

CMS Medicare
| |

CMS proposes raising Medicare Advantage marketing, ratings stakes

The Centers for Medicare and Medicaid Services is considering significant changes to how Medicare Advantage quality is measured, how provider networks are assembled and how insurance companies market their products. In a draft regulation published Wednesday, CMS proposes a variety of changes to Medicare Advantage for next year, including modifications to the Star Ratings bonus…

| |

CMS Puts the Kibosh on Misleading Medicare Advantage Sales Pitches

-“Secret shoppers” found that 80% of agent calls with clients were inaccurate or insufficient. After reviewing thousands of complaints about “confusing, misleading, and/or inaccurate” Medicare Advantage ads, and using “secret shoppers” to document deceptive telephone sales pitches, the Centers for Medicare & Medicaid Services (CMS) announced it is putting its foot down on Thursday. Kathryn…

Inequities - Healthcare
|

Inequities in health care coverage and access remain despite legislative gains

Legislation to reduce racial and ethnic disparities in health insurance coverage and improve access to care have led to some progress but continue to fall short of objectives. The Affordable Care Act helped, especially in states that expanded eligibility for their Medicaid programs. However, after 2016, coverage gains stalled and slightly eroded. Combined with job and income losses stemming…