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 ...

In a panel discussion moderated by Aaron Wesolowski, AHA vice president of research strategy and policy communications, John Allison, AHA senior associate director, health policy and analytics; Jeremy ...

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 ...

Diagnostic-related groups (DRGs) help determine the amount Medicare will pay a hospital for an individual's care. Learn more ...