Medicare Advantage 2015 Data Spotlight: Overview of Plan Changes

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When SNPs were authorized, there were few requirements beyond those otherwise required of other Medicare Advantage plans. The Medicare Improvements for Patients and Providers Act (MIPPA) of 2008 established additional requirements for SNPs, including requiring all SNPs to provide a care management plan to document how care would be provided for enrollees and requiring C-SNPs to limit enrollment to beneficiaries with specific diagnoses or conditions. As a result of the new MIPPA requirements, the number of SNPs declined in 2010. The ACA required D-SNPs to have a contract with the Medicaid agency for every state in which the plan operates, beginning in 2013. Additionally, in 2013, joint federal-state financial alignment demonstrations to improve the coordination of Medicare and Medicaid for dually eligible beneficiaries began to enroll beneficiaries. Today, financial alignment demonstrations are underway in 12 states: California, Colorado, Illinois, Massachusetts, Michigan, Minnesota, New York, Ohio, South Carolina, Texas, Virginia, and Washington. The financial alignment demonstrations could influence the availability of D-SNPs in these states, either increasing or decreasing the availability of SNPs, depending on the design of the demonstration.

Medicare Payment & Delivery Changes

Following years of advocacy by the nation’s physicians standing up for their patients and their practices, Congress repealed the sustainable growth rate (SGR) formula. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), in addition to eliminating the SGR, represents the most significant change in Medicare physician payment policy in over 25 years.

Changes to Medicare With the Affordable Care Act

You can get most screening services without additional cost. Screenings are medical tests to find illnesses early, when they’re easier to treat. For instance, a mammogram is a screening for breast cancer. A colonoscopy checks for colon cancer. You can also be checked for diabetes, high blood pressure, and high cholesterol.

What Changes in Medicare Can You Expect for 2017?

And higher income earners, who also aren’t covered by the provision, will likely pay even more. The highest earners, individuals making over $214,000 and couples making over $428,000, could see their premiums go from $389 a month to $467.20 a month, according to an analysis by The Wall Street Journal. CHECK OUT: Find the Right Medicare Supplement Plan in Your Area

Social Security, Medicare changes are coming with new budget law

• File and suspend. Currently, a married person — typically the higher wage earner in a couple — who’s at least full retirement age could file for his or her own Social Security benefits and then immediately suspend those benefits while the spouse could file for spousal benefits. By doing this, the higher wage earner’s benefits would grow 8% per year. In the meantime, the couple still get a Social Security check, and down the road the surviving spouse could get a higher benefit.

Should You Be Afraid of Huge Medicare Changes Under President Trump?

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