Over the last several years, The Inquirer has curated a primer on Medicare, based on questions sent in by our readers, to help make the process a little easier. For 2021, we've updated it with details ...

Implementing the Medicare $2 drug list model would have reduced out-of-pocket spending by 63% for Part D beneficiaries in 2021. The model caps cost-sharing at $2 for a 30-day supply of 101 generic ...

Differential coding by Medicare Advantage plans appeared to have pushed their risk scores higher than traditional Medicare's scores. Those greater risk scores led to $33 billion in extra revenue for ...

Medicare open enrollment ended on Monday, with preliminary data showing that more consumers are choosing Medicare Advantage plans for 2021 due to the plans' supplemental benefits. This is no surprise, ...

U.S. News & World Report published its annual list of the best health insurance companies offering Medicare Advantage coverage in 2021. The publication created the list by analyzing each plan’s CMS ...

For-profit payers saw the largest gains in new lives covered by Medicare Advantage plans in 2021, according to a report from The Chartis Group. For the report, analysts with the healthcare advisory ...

If you think you can benefit from a new Medicare plan, now's the time to get moving. Many seniors on Medicare struggle to pay for healthcare during retirement and wind up spending an uncomfortably ...

Numerous studies show that employer plans pay providers significantly more than Medicare, but less is known about prices in nongroup plans sold both on and off the Marketplaces established by the ...

Medicare Part D, also known as a prescription drug plan (PDP), has an annual deductible that usually changes yearly. Full payment of the deductible is required before the plan will cover eligible ...

Medicare Advantage enrollment has increased in the US and Puerto Rico, with a dramatic growth among Puerto Rico beneficiaries with end-stage renal disease.

The Centers for Medicare & Medicaid Services (CMS) classifies eating disorders as mental health conditions. Because of that, treatments for eating disorders fall under Original Medicare (parts A and B ...