As is the case with almost every facet of the healthcare system, MA plans still have a lot of work to do in addressing health equity.
After decades of growing pains, Medicare Advantage continues to expand no matter the political party of the sitting president, but how much growth and whom that growth most benefits — consumer or insurer — depends on which policy levers that administration pulls.
Paul Shafer is an assistant professor of health law, policy, and management at the Boston University School of Public Health, follow him on Twitter @shaferpr.
Moving the needle on upcoding will require a multifaceted approach, dependent on both regulatory oversight and buy-in from payers and providers.
Specifically, providers and payers can sometimes hide behind that complexity to intentionally bill erroneously. Upcoding is one potentially fraudulent form of billing. Upcoding occurs when more intensive and expensive diagnoses or treatments are documented than what was actually provided to the patient or medically necessary.
There have been a lot of innovations in Medicare over the last decade or so, with the intent of improving the program’s value. There have
The following originally appeared on The Upshot (copyright 2019, The New York Times Company). It also appeared on page B5 of the print edition on September
We’ve been hearing a lot of pretty general plans to implement Medicare for all Americans. How would that work? Medicare as it exists today has
The following originally appeared on The Upshot (copyright 2019, The New York Times Company) and is coauthored by Elsa Pearson and Austin Frakt. It also appeared
The following originally appeared on The Upshot (copyright 2019, The New York Times Company) and is co-authored by Austin Frakt and Aaron Carroll. If you want to
One of the original justifications for Medicare is that older people have much higher health care needs and expenses. But there are a few common
Political talk is getting more and more serious around Medicare for All in the United States. The argument, as usual comes down to costs. One
