designed to help Medicare determine when it should not be the primary payer of claims. The Benefits Coordination & Recovery Center and Commercial Repayment Center are responsible for different ...

If you enroll in a Part D or Medicare Advantage plan for 2025, you won’t have to pay more than $2,000 in out-of-pocket costs ...

The excess payments Medicare Advantage plans receive for higher risk scores may be more influenced by differences in coding practices rather than actual differences in disease burden between MA and ...

Medicaid integration efforts proceed, policymakers need to recognize and address the specific needs of dually eligible ...

Fewer than half of Australians are always bulk billed when they see a GP. Labor’s Medicare plan, which the Coalition has ...

Wave goodbye to the Part D "donut hole" and hello to a $2,000 cap on the amount you'll pay for medications. But other changes ...

Medicare Advantage (MA) plans, with fixed payments based on medical complexity, incentivize aggressive coding of comorbidities, potentially inflating costs for the federal government, according to ...

The White House on Tuesday afternoon identified Amy Gleason as the acting leader of DOGE, which has been pushing agencies to ...

Those are patients for whom primary care should be their point of ... steps that Butler made towards this in the first $4.5billion Medicare announcement in 2022 toward actually de-fragmenting ...

For example, a parent with a March birthday would pay first, making it the primary coverage, if the other parent has ... rule is part of a set of rules called coordination of benefits (COB). COB helps ...

AARP is a well-known company that offers supplemental health insurance for senior citizens looking to fill gaps in their Medicare coverage. The company offers eight Medicare plans through United ...

The Medicare donut hole was a colloquial term for a gap in prescription drug coverage in Medicare Part D. However, as of 2025, Medicare has closed the donut hole and replaced it with a cost cap.