A recent report from the HHS Office of the Inspector General (OIG) raises serious concerns about inappropriate Medicare Advantage denials of care as well as wrongful payment denials. It shows that Medicare Advantage plans, commercial health plans that contract with Medicare to deliver Medicare benefits, overturn their own denial decisions 75 percent of the time. Unfortunately, most […]
Slow Growth in Medicare and Medicaid Spending Per Enrollee Has Implications for Policy Debates
Since 2006, national health expenditure (NHE) growth has been slow relative to historic growth rates. Annual spending growth between 2006 and 2017 averaged 5.2 percent for Medicare, 6 percent for Medicaid, and 4.4 percent for private health insurance. The Centers for Medicare and Medicaid Services (CMS) project much faster growth in Medicare and Medicaid spending […]