Tag: Prior authorizations

7 Medicare Policies That Are Quietly Being Rewritten Without Public Input

Tina Marie (Ms. Cat)

Medicare may seem like a stable program, but behind the scenes, critical policies are being tweaked — and not always with public notice. These changes can affect your benefits, cost-sharing, and care options long before you hear about them. Transparency is fading fast, making it harder for beneficiaries to weigh in or prepare. Knowing what’s changing helps you stay informed, even if the announcements don’t show up in your mailbox. Here are seven current shifts in Medicare that are unfolding quietly — and why you should care about each.

7 Medicare Policies That Are Quietly Being Rewritten Without Public Input

Hospitals, doctors drop private Medicare plans over payment disputes

Tina Marie (Ms. Cat)

One large health system with hospitals in Virginia and Ohio this year cut off in-network access to consumers enrolled in some Anthem Blue Cross Blue Shield Medicare and Medicaid health insurance plans.

Hospitals, doctors drop private Medicare plans over payment disputes

Related:

Vanderbilt Health to drop some Medicare Advantage plans

H/T: Christopher Westfall | Senior Savings Network (this is not an endorsement)

[2022] The Dark History of Medicare Privatization

Tina Marie (Ms. Cat)

Medicare Advantage was supposed to be a money-saver. It’s now become a costly, unaccountable cash cow for private insurance companies that is swallowing traditional Medicare.

The Dark History of Medicare Privatization

Related:

Medicare goes “woke”?! 😉

CMS Unveils ACO REACH: What you Need to Know

The Geo Direct Contracting model is scrapped, and ACO REACH is replacing GPDC…

A new incentive will help to address health equity.

Blue Cross Blue Shield Association

Blue Cross and Blue Shield insurance companies are licensees, independent of the association and traditionally of each other, offering insurance plans within defined regions under one or both of the association’s brands. Blue Cross Blue Shield insurers offer some form of health insurance coverage in every U.S. state. They also act as administrators of Medicare in many states or regions of the U.S.