Medicare Index Report 2022

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By Staff Reporters

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e-Health: Three Highlights

 •  $6 per month is the average Medicare Advantage premium for plans selected by eHealth shoppers, up from $5 last year (a majority choose $0-premium plans); $22 per month is the average Part D plan premium, up from $20 last year.
 •  Medicare Advantage enrollees are paying deductibles 4% higher than last year ($121 vs. $116), while Part D plan enrollees have deductibles 7% higher than last year ($427 vs. $400).
 •  The average annual out-of-pocket limit for people selecting Medicare Advantage plans decreased 5% for 2022, from $5,367 to $5,108.

Source: eHealth, April 7, 2022

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“For-Profit” Medicare Advantage Plan Growth

By Staff Reporters

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Chartis: For-Profit Medicare Advantage Plan Growth 2022

 •  UnitedHealth Group: 765K new lives
 •  Centene Corporation: 338K new lives
 •  CVS Health/Aetna: 323K new lives
 •  Humana: 315K new lives
 •  Bright Health: 109K new lives

Source: The Chartis Group, “Medicare Advantage Enrollment Continues to Surge in an Increasingly Complex and Competitive Landscape,” February 2022

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PODCAST: NaviHealth Digital Health Start-Up

SOLD TO OPTUM

BY ERIC BRICKER MD

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PODCAST: The RAND Corporation Found that Commercial Health Insurance Plans Pay Hospitals 241% What Medicare Pays

The RAND Corporation Found that Commercial Health Insurance Plans Pay Hospitals 241% What Medicare Pays.

But Also That It Varies from 150% to 400%.

Dr. Boram (Kim) Park, MD - Dallas, TX | Internal Medicine

BY ERIC BRICKER MD

Health Insurance Companies Paid for Hospital Outpatient Services at an Even Higher Average Rate of 293% of Medicare.

A Detailed Look at the RAND Analysis Reveals that the ‘Basket’ of Services at Each Hospital Had Very Little Data.

For Example, the RAND Study’s Data for the Baylor Scott & White Hospital System in Dallas – Fort Worth Represented Only 0.4% of the Hospital’s Total Revenue.

For the Texas Health Hospital System Also in Dallas – Fort Worth, the RAND Study’s Data Only Represented 0.96% of the Hospital’s Total Revenue.

That Sample Size Is Likely Too Small to Make Accurate Comparisons from One Hospital System to Another Regarding their Commercial Insurance Prices Relative to Medicare.

ASSESSMENT: Your thoughts and comments are appreciated.

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PODCAST: “Signify Health” Start-Up Risk Adjustments [Medicare Advantage Part C]

BY ERIC BRICKER MD

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Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

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FINANCIAL PLANNING: https://www.routledge.com/Comprehensive-Financial-Planning-Strategies-for-Doctors-and-Advisors-Best/Marcinko-Hetico/p/book/9781482240283

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PODCAST: APPEALS of Medicare Advantage [Part C] Plans

BY CMS

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PODCAST: Medicare Advantage [PART C] Cost Reduction Strategies

BY ERIC BRICKER MD

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ORDER: https://www.routledge.com/Financial-Management-Strategies-for-Hospitals-and-Healthcare-Organizations/Marcinko-Hertico/p/book/9781466558731

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Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

MORE: https://www.routledge.com/Comprehensive-Financial-Planning-Strategies-for-Doctors-and-Advisors-Best/Marcinko-Hetico/p/book/9781482240283

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PODCAST: Understanding Your Medicare Choices

ORIGINAL MEDICARE, PART C, MEDIGAP AND YOU

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

BY MEDICARE – CMS

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