Implementing the Medicare $2 drug list model would have reduced out-of-pocket spending by 63% for Part D beneficiaries in 2021. The model caps cost-sharing at $2 for a 30-day supply of 101 generic ...

Differential coding by Medicare Advantage plans appeared to have pushed their risk scores higher than traditional Medicare's scores. Those greater risk scores led to $33 billion in extra revenue for ...

Differential coding in MA plans results in higher risk scores and increased payments compared to TM, with significant insurer variation. UnitedHealth Group's risk scores were significantly higher than ...

Medicare’s Part A hospital trust fund is now estimated to be depleted in 2036, five years later than the Medicare Trustees predicted in their 2023 report. With Medicare providing health insurance ...

Medicare costs could decrease under a new proposal from the Trump administration that would shift the drug payment model entirely. The Centers for Medicare & Medicaid Services (CMS) released details ...