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BMA Blog

Gain valuable insight into Medicare Advantage policy from our research experts, read stories of beneficiaries whose lives are better because of MA, or catch up on news you may have missed.

The BMA Blog is your go-to resource for all things Medicare Advantage.

What the Inspector General Report on Chart Reviews in Medicare Advantage Says – and Does Not Say December 20, 2019

Jeremiah McCoy Last week, the Office of the Inspector General (OIG) released an analysis on the Centers for Medicare & Medicaid Services (CMS) data regarding Medicare Advantage plans’ use of chart reviews, a tool to…

New Independent Government Reports Demonstrate the Value of Pharmacy Benefit Managers and Prescription Drug Rebates to Medicare Beneficiaries September 24, 2019

Jeremiah McCoy Last week the HHS Office of Inspector General (OIG) published a report, in response to a request from Congress, analyzing the relationship between rebates for certain brand-name prescription drugs reimbursed by Medicare Part…

The Deeper Dive
Understanding A Recent Analysis of Gross Margins in Medicare Advantage August 22, 2019

Jeremiah McCoy Earlier this month, the Kaiser Family Foundation released an issue brief titled, Financial Performance of Medicare Advantage, Individual, and Group Health Insurance Markets. In it, the authors examine and compare average annual gross…

Modernizing Medicare through Medicare Advantage August 19, 2019

Allyson Y. Schwartz In the midst of the political debates about health care in America, Better Medicare Alliance hosted our third annual Medicare Advantage Summit last week. Throughout this two-day conference we heard first-hand how…

Deploying Value Based Care Contracts Under the Umbrella of Population Health Management: A Must for Success August 14, 2019

Rose Maljanian, Chairman & CEO HealthCAWS The evolution of our nation’s healthcare system and ecosystem from fee for service to value based care has only just begun, and while the goal is to rapidly accelerate…

A Closer Look: Kaiser Family Foundation Analysis of Costs in MA June 10, 2019

James Michel Last month, the Kaiser Family Foundation released a report examining differences in government spending on Medicare beneficiaries who switched out of original fee-for-service (FFS) Medicare and into Medicare Advantage (MA) and those who…

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