Because the Centers for Medicare & Medicaid Services (CMS) pays MA plans more for patients who are higher risk, having more ...

The Coverage Gap is a temporary limit on what the drug plan will cover for drug costs. In 2025, Medicare will eliminate the donut hole coverage gap, further simplifying coverage. Now, with the new ...

Most people are eligible for Medicare at 65 years old. However, certain exemptions make you not eligible or make it so you have to pay more premiums.

Medicare Part D provides prescription drug coverage for beneficiaries to support their pharmacological treatment; however, the complex deductible structure within benefit plans creates a major ...

If you have a healthcare plan through the Health Insurance Marketplace and you’re nearing 65 years old, it’s time to start ...

and traditional Medicare (TM) is a persistent challenge. High coding intensity in MA and undercoding in TM—often due to resource constraints and limited incentives—creates a risk gap that ...

The donut hole was a gap in prescription drug coverage during which you could end up paying more for prescription drugs. You entered the donut hole once your Medicare Part D plan had paid a ...

Educational gap may persist for Medicare recipients and caregivers; over half don't recall receiving any information on new cost savings p ...