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Health plans serve tens of millions of Americans through public programs, including Medicaid, Medicare and Medicare Part D. These public-private partnerships afford beneficiaries access to health plans’ comprehensive programs that improve patient care and safety, while providing services in a cost-effective manner that reduces their out-of-pocket costs.

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Medicaid   MA 
Part D    Supplemental 

 

Latest Resources

AHIP Statement on Medicare Advantage Payment Rates

While we are still reviewing the final rate notice released by CMS today, below is a statement from America’s Health Insurance Plans’ (AHIP) President and CEO Karen Ignagni on 2015 Medicare Advantage payment rates:

Press Releases | Strategic Communications | 04/07/2014

New State-by-State Data Show Impact on Seniors of Proposed Cuts to Medicare Advantage

Seniors across the country will experience increased costs, reduced benefits, and fewer coverage options if new proposed cuts to Medicare Advantage payments take effect on April 7, according to new state-by-state data from Oliver Wyman.

Press Releases | Strategic Communications | 03/11/2014

New TV Ad Highlights Impact of Proposed Cuts to Medicare Advantage

America’s Health Insurance Plans’ Coalition for Medicare Choices (CMC) today released a new television ad highlighting the impact that recently proposed cuts to Medicare Advantage would have on the millions of seniors enrolled in Medicare Advantage. The new TV ad is the latest part of the Coalition’s ongoing advocacy campaign urging the Medicare agency to protect seniors in the program by maintaining current Medicare Advantage payment rates in 2015.

Press Releases | Strategic Communications | 03/04/2014

Medicare Advantage Rate Cuts: Higher Costs, Reduced Benefits - [PDF]

Seniors enrolled in Medicare Advantage would face premium increases and benefit reductions of $35-$75 per month, or $420-$900 next year, if new Medicare Advantage payment cuts recently proposed by CMS, the Medicare agency, take effect next year, according to a new report by Oliver Wyman. Combined with last year’s 6 percent cut and the program could be hit by a double-digit cut over just a two-year period, causing cost increases and benefit reductions for seniors of $65-$145 per month, or as much as $1,740 over two years. Cuts of this magnitude could cause plan exits, reductions in service areas, reduced benefits, and provider network changes, according to the report.

Infographics | Strategic Communications | 02/27/2014

New Report: Seniors to Lose Benefits and Choices as a Result of CMS’ Proposed Cuts to Medicare Advantage

Seniors and people with disabilities enrolled in Medicare Advantage plans would face premium increases and benefit reductions of $35-$75 per month, or $420-$900 next year, if new Medicare Advantage payment cuts recently proposed by the Centers for Medicare and Medicaid Services (CMS) take effect next year, according to a new analysis by Oliver Wyman prepared for America’s Health Insurance Plans.

Press Releases | Strategic Communications | 02/27/2014

2015 Advance Notice

The Centers for Medicare & Medicaid Services (CMS) released the Advance Notice of Methodological Changes for Calendar Year 2015 Medicare Advantage Capitation Rates and Part C and Part D Payment Policies (the 2015 Advance Notice) on February 21, 2014. This notice outlines the planned changes to Medicare Advantage (MA) capitation rates applied under Part C for CY 2015 and other regulatory changes that will affect plan reimbursement. Based on information released in the 2015 Advance notice and reductions already being implemented by the Affordable Care Act (ACA), Medicare Advantage Organizations (MAOs) could experience substantial payment reductions for 2015. Such reductions would have a significant impact on the sustainability of MAO program participation and the ability of MAOs to provide stable benefits and beneficiary premiums to their members.

Reports/Research/White Papers | Strategic Communications | 02/25/2014

40 Senators Sign Bipartisan Letter Urging CMS to Maintain Current Medicare Advantage Payment Levels in 2015

A bipartisan group of 40 senators recently sent a letter to the Centers for Medicare and Medicaid Services (CMS) urging the Medicare agency to protect seniors by maintaining current payment levels in 2015.

Press Releases | Strategic Communications | 02/18/2014

Early Indications of Changes to the 2015 Medicare Advantage Payment Methodology and the Potential Effect on Medicare Advantage Organizations and Beneficiaries - [PDF]

The Centers for Medicare and Medicaid Services (CMS) will release the Advance Notice of Methodological Changes for Calendar Year 2015 Medicare Advantage Capitation Rates and Part C and Part D Payment Policies (the 2015 Advance Notice) on February 21, 2014. This notice is expected to outline the planned changes to Medicare Advantage (MA) capitation rates applied under Part C for CY 2015 and other regulatory changes that will affect plan reimbursement.

Reports/Research/White Papers | Product Policy | 02/06/2014

Seniors Could Face $420-$900 in Higher Costs, Reduced Benefits Next Year Due to New Medicare Advantage Rate Cuts

Seniors and people with disabilities enrolled in Medicare Advantage plans could face premium increases and benefit reductions of $35-$75 per month, or $420-$900 next year, if Medicare Advantage (MA) payments are once again reduced by six percent in 2015, according to a new analysis by Oliver Wyman prepared for America’s Health Insurance Plans.

Press Releases | Strategic Communications | 02/06/2014

Health Literacy and America’s Health Insurance Plans: Laying the Foundation and Beyond - [PDF]

This publication explains the innovative approaches that 30 health plans have taken to providing easily understood, actionable health and benefits information for consumers.

Reports/Research/White Papers | Center for Policy and Research, Strategic Communications | 11/15/2013

AHIP Statement on Medicare Advantage

America’s Health Insurance Plans (AHIP) President and CEO Karen Ignagni released the following statement in response to today's announcement by the Department of Health and Human Services on enrollment and premiums in Medicare Advantage next year:

Press Releases | Strategic Communications | 09/19/2013

Trends in Medigap Coverage and Enrollment, 2012

This report presents trends in enrollment in Medicare Supplement (Medigap) insurance coverage, using data on the number of policies in force as of December 2012 from the National Association of Insurance Commissioners (NAIC). The NAIC dataset contains information on most Medigap policies in force in the U.S., representing approximately 10.2 million covered lives, with policies from 262 carriers.

Reports/Research/White Papers | Center for Policy and Research | 05/20/2013

AHIP Statement on Final 2014 Medicare Advantage Payment Rates

America's Health Insurance Plans (AHIP) President and CEO Karen Ignagni released the following statement in response to the final Medicare Advantage payment rates released by the Centers for Medicare & Medicaid Services (CMS) today.

Press Releases | Strategic Communications | 04/01/2013

New State-by-State Data on Impact of CMS’ Proposed Cut to Medicare Advantage

Seniors all across the country will experience higher premiums and reduced health care benefits if a new cut to the Medicare Advantage program takes effect next year as was recently proposed by the Centers for Medicare & Medicaid Services (CMS), the agency that oversees the Medicare program

Press Releases | Strategic Communications | 03/21/2013

Medicaid Managed Care Plans Providing Higher Quality Care, Better Value for Taxpayers

As state Medicaid programs struggle to deal with rising medical costs and expanding populations, the targeted programs and services offered by Medicaid managed care plans are enhancing patients’ quality of life, improving health outcomes, and providing better value for taxpayers, according to a new report from America’s Health Insurance Plans (AHIP)

Press Releases | Strategic Communications | 03/05/2013

Innovations in Medicaid Managed Care: Highlights of Health Plans’ Programs to Improve the Health and Well-Being of Medicaid Beneficiaries

In this report—an update to AHIP’s 2005 Innovations in Medicaid Managed Care book—we provide details about 17 health plan initiatives dedicated to improving the health and well-being of Medicaid beneficiaries.

Research | Center for Policy and Research | 03/04/2013

Medicare Advantage Cuts: Higher Costs and Reduced Benefits Infographic

AHIP has developed an infographic showing the impact of proposed cuts to Medicare Advantage on Medicare Advantage beneficiaries.

Infographics | Strategic Communications | 02/28/2013

Medicare Advantage by the Numbers State Infographics

AHIP has released infographics outlining the impact of proposed cuts on Medicare Advantage beneficiaries in select states.

Infographics | Strategic Communications | 02/27/2013

Proposed Changes to 2014 Medicare Advantage Payment Methodology and the Effect on Medicare Advantage Organizations and Beneficiaries - [PDF]

On February 15, 2013, CMS released its Advance Notice of Methodological Changes for Calendar Year 2014 Medicare Advantage (“MA”) Capitation Rates and Part C and Part D Payment Policies.

Reports/Research/White Papers | Strategic Communications | 02/26/2013

AHIP Statement on New Survey Showing 90 Percent of Seniors Satisfied with Prescription Drug Coverage

America’s Health Insurance Plans’ (AHIP) President and CEO Karen Ignagni released the following statement in response to a new survey released today by Medicare Today and KRC Research which found that 90 percent of seniors are satisfied with their Medicare prescription drug coverage.

Press Releases | Strategic Communications | 10/03/2012

Seniors' Opinions About Medicare Rx: 7th Year Update - [PDF]

This annual survey conducted by KRC Research and Medicare Today tracks seniors' views toward the Medicare Part D program.

Reports/Research/White Papers | Strategic Communications | 10/03/2012

AHIP Statement on Medicare Advantage

America’s Health Insurance Plans (AHIP) President and CEO Karen Ignagni released the following statement on the announcement today by the Department of Health and Human Services that enrollment in Medicare Advantage is projected to increase by 11 percent in the next year and premiums will remain steady.

Press Releases | Strategic Communications | 09/19/2012

AHIP Statement on Affordable Prescription Drug Coverage for Seniors

America’s Health Insurance Plans (AHIP) President and CEO Karen Ignagni released the following statement today in reaction to the announcement by CMS that Medicare Part D premiums in 2013 will remain steady for the third straight year.

Press Releases | Strategic Communications | 08/06/2012

AHIP Medicaid Chartpack - [PDF]

 

Charts | Product Policy | 07/10/2012

Low-Income & Minority Beneficiaries in Medicare Advantage Plans, 2010 - [PDF]

New data from the Medicare Current Beneficiary Survey (MCBS) show that Medicare Advantage plans, Medicare’s private comprehensive health plans, continue to be a vital source of coverage for low-income and minority beneficiaries in 2010.

Reports/Research/White Papers | Center for Policy and Research | 05/03/2012

Hospital Readmission Rates in Medicare Advantage Plans - [PDF]

Based on a large sample of administrative claims data, this study measured 30-day readmission rate for hospitalized Medicare Advantage (MA) patients of 14.5% (per admission) in the 2006-2008 period.  After adjustments for readmission risk and disability entitlement status, the MA readmission rate was about 13% to 20% lower than that in Medicare’s traditional fee-for-service (FFS) program.  Benchmark measurements of readmission rates among MA patients can help provide an impetus for additional reductions in both MA and FFS Medicare.

Reports/Research/White Papers | Center for Policy and Research | 02/28/2012

New Study in AJMC Provides Further Evidence of the Effectiveness of MA Plans in Addressing One of the Most Pressing Problems in Health Care Today

As the nation continues to focus on the crucial patient safety implications of avoiding preventable hospital readmissions, a new study contributes fresh evidence to the mounting body of work indicating that hospital readmission rates are lower in Medicare Advantage (MA) than in Medicare fee-for-service (FFS). 

Press Releases | Strategic Communications | 02/28/2012

Medicare Advantage: Improving Health Care Quality - [PDF]

This analysis confirms that MA plans deliver effective and consistent care for a number of important procedures at higher rates compared to the traditional FFS program. Seniors and Medicare beneficiaries with disabilities, especially those with high-risk conditions, such as diabetes, heart disease, breast cancer, and depression, can rest assured knowing that they can rely on their MA plan to successfully provide access to care and the services they need to live better lives.

Reports/Research/White Papers | 09/19/2011

AHIP Statement on More Affordable Prescription Drug Coverage for Seniors

America’s Health Insurance Plans (AHIP) President and CEO Karen Ignagni released the following statement today in reaction to the announcement by CMS that Medicare Part D premiums for 2012 have declined slightly from 2011.

Press Releases | Strategic Communications | 08/04/2011

Capitol Hill Briefing on Access and Quality in Medicaid Managed Care

AHIP hosted a Capitol Hill briefing on how Medicaid health plans improve access and quality of care for beneficiaries while providing cost savings to states. The briefing featured presentations from four Medicaid health plan executives.

AHIP Coverage Blog Posts | 05/11/2011

Medicaid Health Plan Enrollment and Participation Trends, May 2011

This report by America’s Health Insurance Plans (AHIP) analyzes enrollment and participation trends in Medicaid managed care plans. Of the 50.5 million Medicaid beneficiaries nationwide, 23.9 million were enrolled in a Medicaid health plan as of June 30, 2009, an increase of 2.4 million since 2008.

Reports/Research/White Papers | Federal | 05/09/2011

USA Today: States turn to private insurance companies for managed care

Kaiser Health News/USA Today examine how states are turning to Medicaid managed care plans to provide care for long-term care patients.

News Articles | 02/21/2011

Low-Income & Minority Beneficiaries in Medicare Advantage Plans, 2008 - [PDF]

New data from the Medicare Current Beneficiary Survey (MCBS) show that Medicare Advantage plans, Medicare’s private comprehensive health plans, were a vital source of coverage for low-income and minority beneficiaries in 2008.

Reports/Research/White Papers | Center for Policy and Research | 12/06/2010

AHIP Statement on Medicare Advantage

Press Releases | Strategic Communications | 09/21/2010

Reductions in Medicare Advantage Payments: The Impact on Seniors by Region - [PDF]

Heritage Foundation backgrounder on the impact of new Medicare Advantage cuts included in the ACA, which states that these cuts “will restrict senior citizens and the disabled to fewer and worse health care choices, reducing their access to quality health care.”

Reports/Research/White Papers | 09/14/2010

Medicare Advantage is Reducing Preventable Hospital Readmissions for Seniors

A new analysis of federal and state government data provides further evidence that seniors in Medicare Advantage have lower risk-adjusted hospital readmission rates than patients in Medicare’s traditional fee-for-service (FFS) program, according to a report released today by America’s Health Insurance Plans (AHIP).

Press Releases | Strategic Communications | 06/07/2010

Estimated Financial Effects of the “Patient Protection and Affordable Care Act,” as Amended - [PDF]

The Centers for Medicare and Medicare Services Chief Actuary Rick Foster released an analysis of the Patient Protection and Affordable Care Act, which concluded that cuts to Medicare Advantage would “result in less generous benefit packages” and that MA enrollment would be 50 percent lower than previous projections.

Federal Statutory/Regulatory/ Guidance Docs | 04/22/2010

Comparison of Projected Enrollment in Medicare Advantage Plans - [PDF]

The Congressional Budget Office released its latest projections on the impact new cuts to Medicare Advantage will have on the millions of seniors enrolled in the program. CBO is projecting MA enrollment will decline from 11.7 million enrollees in 2011 to 7.5 million in 2018.

Reports/Research/White Papers | 03/19/2010

AHIP Statement on Health Care Reform Legislation

 

Press Releases | Strategic Communications | 03/18/2010

Previous Medicare Advantage cuts caused seniors to lose their coverage

Following the Medicare Advantage cuts in the Balanced Budget Act of 1997, millions of seniors across the country saw higher premiums, a reduction in benefits, and loss of coverage.

AHIP Coverage Blog Posts | 03/08/2010

Medicaid Health Plans: Adding Value for Beneficiaries and States - [PDF]

This synthesis of research by America’s Health Insurance Plans (AHIP) demonstrates that Medicaid health plans provide high quality accessible care to beneficiaries and value to states.

Reports/Research/White Papers | 05/20/2009

Innovations in Medicaid Managed Care

Health insurance plans are implementing a multitude of creative programs to improve quality and efficiency in Medicaid.

Reports/Research/White Papers | Center for Policy and Research | 03/01/2005

AHIP Report: Medicaid Managed Care Cost Savings - A Synthesis of Fourteen Studies - [PDF]

According to the Lewin Group's review of 14 studies, Medicaid managed care has saved states up to 19% compared with fee-for-service Medicaid.

Reports/Research/White Papers | Center for Policy and Research | 06/01/2004