Medicare drug coverage: Peace of mind that’s good for the wallet

The majority of seniors are overwhelmingly satisfied with their Medicare Part D prescription drug coverage and it’s not hard to see why. Just take a look at a July survey showing how Medicare Part D continues to be one of the federal government’s most successful programs. Meeting the expectations of roughly 40 million beneficiaries isn’t an easy feat, but that’s exactly what Medicare Part D does. As the survey notes, Part D plans achieved that success by consistently providing seniors [...]

Posted in: Fact Check

Politico: Exposing Medicare misalignment

A new article from Politico Magazine calls more attention to misaligned incentives plaguing the health care system and driving up costs. It spotlights how a physician committee sets Medicare fees for physician services and procedures, skewing payments in favor of expensive specialists. And it does so with little transparency or public discussion. The secrecy and power driving Medicare’s reimbursement system creates misaligned incentives that put value on the backburner and encourage less efficient, wasteful, and expensive healthcare choices. The article [...]

Posted in: Health Care Costs

Medicaid health plans get innovative

As we’ve highlighted this week, health plans play an important role in providing access to better care, better health outcomes, and better value for millions of beneficiaries who depend on public programs like Medicaid, Medicare, and Medicare Part D. And there’s plenty to look at, given health plans’ long track record of success in Medicaid managed care. For instance, one health plan implemented an integrated care management program that gives Medicaid members with multiple chronic conditions access to nurse care [...]

Posted in: Fact Check

Chart of the day: The Hospital Price is Right … Or is It?

A chart from British Medical Journal illustrates an ongoing problematic issue: Hospital prices are anyone’s guess. Continue reading

Posted in: Health Care Costs

More voices back high-value networks

As U.S. health care spending continues to grow and the new health care law limits tools available to promote affordability, health plans have turned to high-value networks to bring greater choice, quality, and value to consumers. Continue reading

Posted in: What They Are Saying

Health Plans in Public Programs: Better Care, Better Value

Through public-private partnerships, health plans provide access to coordinated care that meets the unique health needs of diverse patient populations. The result is better care, better health outcomes, and better value for millions of beneficiaries who depend on these important programs. Continue reading

Posted in: Fact Check

Medicare Advantage and value added

We’ve long known the benefits of Medicare Advantage for millions of seniors. Today, a new blog post from The New York Times sheds more light on the fact that Medicare Advantage delivers superior quality to beneficiaries. Continue reading

Posted in: Fact Check

Adventures in Arbitrary Pricing – Hospital Edition

“One California hospital charged $10 for a blood cholesterol test, while another hospital that ran the same test charged $10,169 — over 1,000 times more.” Continue reading

Posted in: Health Care Costs

What to Know About Medicare Advantage

More than 15 million seniors and individuals with disabilities have chosen to enroll in a Medicare Advantage plan because of the better quality care and innovative services these plans provide. Continue reading

Posted in: Uncategorized

High health care costs hit employer health benefits

A new annual report from the National Business Group on Health provides more proof that the high cost of health care services is putting a financial strain on the U.S. health care system. Today’s target—employer health benefits. Continue reading

Posted in: Health Care Costs