A high-touch pharmacy care management (PCM) service leads to lower pharmacy spending costs, decreased inpatient hospital stays and optimal medication use for Medicare Advantage (MA) members identified as being at high risk, ...
Mar 4, 2024
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Medicare plans place few restrictions on the coverage of prescription opioids, despite federal guidelines recommending such restrictions, a new Yale study finds. The research results highlight an untapped opportunity for ...
Oct 9, 2017
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For nearly 50 years Medicare has required patients to endure at least a three-day stint in the hospital before they become eligible for coverage of skilled nursing care afterward. A new study, however, finds that the main ...
Aug 3, 2015
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Despite a dramatic increase in the size of the Medicare-eligible population due to an aging society, enrollment in traditional Medicare declined by almost 3% since 2006. This was the result of a significant increase in the ...
Feb 9, 2023
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(HealthDay)—For patients with coronary artery disease (CAD), those enrolled in Medicare Advantage (MA) are more likely to receive secondary prevention treatments than those enrolled in traditional fee-for-service (FFS) ...
Feb 22, 2019
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Because healthy enrollees cost them less, Medicare Advantage plans would profit from selecting seniors based on their health, but Medicare strictly forbids practices such as denying coverage based on existing conditions. ...
Jan 11, 2012
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Nearly one in three American senior citizens choose to get their government-funded Medicare health coverage through plans run by health insurance companies. The rest get it straight from the federal government.
Jun 6, 2016
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People are free to switch between traditional, public Medicare and private Medicare Advantage plans every year. Under normal circumstances that traffic is equal in either direction—that is, a new Brown University study ...
Oct 5, 2015
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Millions of seniors with Medicare Advantage plans, including more than a million with low incomes, were on the hook to have large out-of-pocket costs for a 27-day course of hospital and skilled nursing care, according to ...
Jun 8, 2015
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Saint Louis University research has found that Medicare patients who belong to racial and ethnic minority groups (Black, Hispanic, Asian/Pacific Islander, or Native American) experience worse access to and quality of ambulatory ...
Aug 17, 2021
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