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  2. What Is Medicare Managed Care? - Healthline

    www.healthline.com/.../medicare-managed-care

    Medicare managed care plans are often known as Medicare Part C or Medicare Advantage plans. Medicare care managed care plans are an optional coverage choice for people with Medicare. Managed care ...

  3. Medicare Guidelines for Inpatient Rehab Coverage - Healthline

    www.healthline.com/health/medicare/medicare...

    In some situations, Medicare requires a 3-day hospital stay before covering rehabilitation. Medicare Advantage plans also cover inpatient rehabilitation, but the coverage guidelines and costs vary ...

  4. What Are the Medicare Guidelines and Costs in 2020? - Healthline

    www.healthline.com/.../medicare/medicare-guidelines

    In 2020, you’ll pay a deductible of $1,364. The deductible will be your total cost on days 1 through 60 of your stay. On days 61 through 90, you’ll pay $341 a day in coinsurance costs. After ...

  5. Understanding Medicare Reimbursement & Claims - Healthline

    www.healthline.com/health/medicare/medicare...

    The takeaway. Original Medicare pays for the majority (80 percent) of your Part A and Part B covered expenses if you visit a participating provider who accepts assignment. They will also accept ...

  6. Primary and Secondary Payers: How Do They Work With Medicare?

    www.healthline.com/health/medicare/medicare...

    If your primary payer was Medicare, Medicare Part B would pay 80 percent of the cost and cover $80. Normally, you’d be responsible for the remaining $20. If you have a secondary payer, they’d ...

  7. What Is Medicare Chronic Care Management? - Healthline

    www.healthline.com/health/medicare/medicare...

    CCM is designed to help organize your medications, appointments, and therapies by connecting the dots between your care for different chronic conditions. Under CCM, a healthcare professional will ...

  8. Healthcare Effectiveness Data and Information Set - Wikipedia

    en.wikipedia.org/wiki/Healthcare_Effectiveness...

    The Healthcare Effectiveness Data and Information Set ( HEDIS) is a widely used set of performance measures in the managed care industry, developed and maintained by the National Committee for Quality Assurance (NCQA). HEDIS was designed to allow consumers to compare health plan performance to other plans and to national or regional benchmarks.

  9. Medicare vs. Medicare Advantage: What's the Difference?

    www.healthline.com/health/medicare/what-is...

    Original Medicare is government-run, while Medicare Advantage is managed and sold by private insurance companies. Original Medicare and Medicare Advantage (Medicare Part C) are two insurance ...

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