PODCAST: The Four [4] Parts of Medicare

UNDERSTAND AND KNOW THE DIFFERENCE: A, B C & D

CITE: https://www.r2library.com/Resource/Title/0826102549

BY MEDICARE – CMS

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One Response

  1. UnitedHealth, Anthem Medicare Advantage Plans [PART C] Penalized for Inadequate Spending

    The Centers for Medicare and Medicaid Services has blocked four Medicare Advantage plans from enrolling new members in 2022 because they didn’t spend the minimum threshold on medical benefits, with three UnitedHealthcare plans and one Anthem plan failing to hit the required 85% mark three years in a row. Medicare Advantage plans are required to spend a minimum of 85% of premium dollars on medical expenses; failure to do so for three consecutive years triggers the sanctions.

    More and more seniors have been enrolling in Medicare Advantage plans in recent years. In such plans, private insurers contract with the federal government to provide publicly funded medical benefits to those 65 years old and older. UnitedHealthcare is the nation’s largest provider of such plans. 2020 data showed that more consumers were choosing MA plans due to the plans’ supplemental benefits, specifically COVID-19 and telehealth supplemental benefits.

    MA plans continued to increase their supplemental benefit offerings in 2021, including meals and transportation to physician visits and coverage of over-the-counter drugs and wellness, benefits not covered under Medicare Part A, Part B or Part D.

    Source: Jeff Lagasse, Healthcare Finance [9/17/21]

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