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Medicare Blog | Medicare News | Medicare Information

Relaxed Medicare Repayment Terms Ease the Burden on Healthcare Providers

Posted by www.psmbrokerage.com Admin on Thu, Oct 01, 2020 @ 02:32 PM

us capitol

Relaxed Medicare Repayment Terms Ease the Burden on Healthcare Providers

President Donald Trump on Sept. 30 signed a short-term spending bill that funds the government through Dec. 11 and relaxes the repayment terms for Medicare loans hospitals received earlier this year. 

Below are the details on six key healthcare provisions in the CR for providers:

Revises the Medicare Accelerated and Advance Payment (AAP) Program.
The CR allows providers (a) to extend repayment for a full year before recoupment of the AAP payment begins, and (b) to limit claim offsets to 25 percent of the full Medicare payment for 11 months followed by six months with claim offsets limited to 50 percent of the full amount.

This change effectively provides a full 29 months to repay the AAP amount in full.

Delays Medicaid Disproportionate Share Hospital (DSH) Reductions.
The CR delays until Dec. 11, 2020, scheduled Medicaid payment reductions for DSH hospitals.

Extends Health Center and Workforce Funding.
The CR extends funding for Community Health Centers, National Health Service Corps and the Teaching Health Center Graduate Medical Education Program through Dec. 11, 2020.

Clarifies Medicaid Drug Rebate Program for Medication-Assisted Treatment.
The CR clarifies that any drugs and biologicals used for medication-assisted treatment will continue to be eligible for rebates under the Medicaid program.

Maintains Medicare Reimbursement for Rural Providers.
Medicare reimbursement for physicians and other providers includes three geographic adjustments. The CR extends a “floor” for such adjustment at 1.0 until Dec. 12, 2020.

Provides for Additional Medicaid Extensions.
he CR also extends three CARES Act provisions changing the Medicaid program.

Specifically the CR further extends two Medicaid demonstration programs — the Medicaid Money Follows the Person demonstration project and the Medicaid Community Mental Health Services demonstration — as well as the Medicaid spousal impoverishment protections program.

 
Summary

The CR gives healthcare providers participating in federal programs some flexibility in repayment timelines for amounts received from CMS as part of the AAP program, including both a delayed start for repayments and a longer period to repay the full sum.

This reflects the ongoing and long-term nature of the COVID-19 pandemic, which may impact future funding bills.

Similarly, the CR extends certain Medicare and Medicaid provisions until December.

Congress will return after the election to determine how lawmakers will address funding the government beyond Dec. 11, 2020.

Full Article

Medicare Advantage Premiums Fall While Enrollment Grows

Posted by www.psmbrokerage.com Admin on Mon, Sep 28, 2020 @ 03:55 PM

medicare advantage enrollment grows
Arthimedes/Shutterstock

Medicare Advantage Premiums Fall
While Enrollment Grows

Out of pocket costs for Medicare Advantage plans will decrease in 2021, as enrollment in the popular plan climbs.

In announcing a number of changes Thursday evening, CMS said the average M/A premium will fall about 11%.

About two-thirds of M/A beneficiaries pay a premium, however, and most members still pay a Part B premium, which was $144.60 this year. Among the notable changes CMS announced:

  • M/A average monthly plan premium is expected to decrease to $21.00 in 2021 from an average of $23.63 in 2020;

  • Since 2017, the average monthly M/A premium has decreased by 34.2%;

  • The 2021 rate is the lowest monthly premium for M/A since 2007;

  • There will be about 2,100 more M/A plans in 2021 than in 2017, a 76.6% increase;

  • The average number of M/A choices-per-county will increase from about 39 in 2020 to 47 plans in 2021;

  • Over 94% of M/A plans will offer telehealth benefits, reaching 20.7 million beneficiaries, up from about 58% offering telehealth benefits in 2020;

  • The average basic Part D premium will be about $30.50 in 2021.


Enrollment in M/A is projected to increase to an all-time high of 26.9 million beneficiaries from the current enrollment of 24.4 million; that’s a 44% increase in M/A enrollment since 2017.

About 42% of Medicare beneficiaries are expected to be enrolled in M/A for 2021 and new insurers continue to enter or expand in the M/A market each year..

Full Article based on CMS Release

Tags: medicare advantage enrollment,

'Massive Expansion' in MA Benefits

Posted by www.psmbrokerage.com Admin on Mon, Sep 28, 2020 @ 02:48 PM

surprised woman
 
'Massive Expansion' in MA Benefits

CMS announced a massive expansion of the supplemental benefit programs that got the attention of home care operators.

“The increase in the number of plans offering these types of supplemental benefits is exciting,” said Anne Tumlinson of ATI, a research and advisory firm.

Prior to 2019, non-medical home care agencies had no role in the Medicare Advantage landscape.

According to CMS, there will be 730 M/A plans offering expanded, primarily health-related supplemental benefits in 2021.

med advantage new benefits

That figure is a 46% increase from the 500 M/A plans to do so in 2020. 920 plans – reaching 4.3 million beneficiaries – will be offering the Special Supplemental Benefits for the Chronically Ill (
SSBCI) benefits in 2021, a nearly four-fold increase compared to the 245 plans to do so this year.

SSBCI includes in-home supportive services, but also benefits like transportation help, nutrition assistance and more.

“The fairly significant increase in the number of plans that are offering these benefit signals, to us, that these are here to stay,” Tumlinson said.

“This is not a flash in the pan. This is not a fluke. This is now a real, concrete part of the Medicare Advantage program, from this point forward.”


Full Article

Tags: medicare advantage enrollment,, Medicare Premiums

Marketing for 2021 Annual Enrollment Period - Reminder

Posted by www.psmbrokerage.com Admin on Mon, Sep 14, 2020 @ 03:01 PM

Tags: Medicare Advantage plans, Medicare, Medicare Supplement, Medicare Part D, CMS, 2021 aep

2021 Medicare Part D Cost-Sharing Chart

Posted by www.psmbrokerage.com Admin on Mon, Sep 14, 2020 @ 02:49 PM

Tags: Medicare, Medicare Part D, CMS

CMS Unveils New Comparison Tool

Posted by www.psmbrokerage.com Admin on Mon, Sep 14, 2020 @ 02:43 PM

Tags: Medicare Advantage, Medicare, Medicare Supplement, Medicare Part D, CMS, Quoting Tools

Medicare Eligible Seniors Survey Findings: Technology, COVID-19, the 2020 Election and More

Posted by www.psmbrokerage.com Admin on Mon, Sep 14, 2020 @ 02:34 PM

Tags: Medicare, COVID-19

Senior Market Clients Need Their Agents

Posted by www.psmbrokerage.com Admin on Mon, Sep 14, 2020 @ 02:27 PM

Tags: Medicare Advantage, Medicare, Medicare Supplement, Medicare Part D

Introducing Nassau Medicare Supplement Plans

Posted by www.psmbrokerage.com Admin on Mon, Sep 14, 2020 @ 11:05 AM

Tags: Medicare, Medicare Supplement, Nassau

We are pleased to launch Anthem’s Medicare products to our Agents

Posted by www.psmbrokerage.com Admin on Wed, Sep 09, 2020 @ 11:35 AM

Tags: Medicare Advantage, Medicare, Medicare Supplement, Medicare Part D, Anthem, BCBS

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