Upcoming Changes to Medicare

[agentboost]

CMS is pushing to support people with Medicare, and is making a few changes in the upcoming year.

There will be a new $2000 out-of-pocket cap on Part D meds.

There will be a new mid-year notification to let you know of any unused supplemental benefits, like your dental or vision benefits.

And the addition of more mental health providers to Medicare coverage.

Big step in the right direction I think.

 

[somarco]

addition of more mental health providers to Medicare coverage.

What kind of incentives are offered to MH providers that will encourage them to become par providers?



About 43% of the 28,000 providers who refuse Medicare reimbursement work in behavioral health disciplines such as psychiatry, clinical social work, addiction medicine and psychology, among others according to new data from the Centers for Medicare & Medicaid Services (CMS).

“This means that neither the physician nor the beneficiary submits the bill to Medicare for services rendered,” CMS indicated on its website. “Instead, the beneficiary pays the physician out-of-pocket and neither party is reimbursed by Medicare.”

The three largest segments of behavioral health providers to opt out of Medicare, compared to all providers, were psychologists (16.9%) and psychiatrists (15.1%) of all types and clinical social workers (10.7%).

About 124,400 practitioners in behavioral health-related fields do accept Medicare reimbursements, according to CMS data for 2020, the most recent full-year numbers available. In total, about 1.4 million providers accepted Medicare reimbursement across all specialties in the U.S.

43% of Medicare Opt-Outs Are Behavioral Health Providers

Data shows the largest share of providers that opt out of Medicare are psychologists, psychiatrists and other behavioral health providers.

bhbusiness.com

 

[ValeRosso]

Whats this $2000 cap you speak of? Never heard such a thing.

 

[AgentGeneral]

CMS is pushing to support people with Medicare, and is making a few changes in the upcoming year.

There will be a new $2000 out-of-pocket cap on Part D meds.

There will be a new mid-year notification to let you know of any unused supplemental benefits, like your dental or vision benefits.

And the addition of more mental health providers to Medicare coverage.

Big step in the right direction I think.

Is this all?

Good we're safe

 

[rmhaire]

Whats this $2000 cap you speak of? Never heard such a thing.

We're getting $2,000 ?? Do we have to split it?

 

[StephanieCJ]

Wait, you're getting $2,000?

 

[rmhaire]

Wait, you're getting $2,000?

Even better. Next year I can put all my Prozac on the monthly installment plan.

 

[Duaine]

 

[rmhaire]

View attachment 14692

I can't wait until DonP sees this. He'll have a conniption fit.

Let's tell him it's coming out of his marketing money.

 

[tikibarrister]

I can't wait until DonP sees this. He'll have a conniption fit.

Don doesn’t have conniption fits anymore. He’s in steady state conniption mode.