Medicare Advantage
publication date
Payer
When Hospitals Ditch Medicare Advantage Plans, Thousands of Members Get to Leave, Too
In the past 15 months, CMS has quietly offered roughly three-month special enrollment periods allowing MA members in 13 states...
Revenue Cycle
Infographic: MA Enrollment in 3 Charts
Growth in Medicare Advantage enrollment has slowed and plans are performing more poorly in quality ratings than in other recent...
Revenue Cycle
What Does Slowed MA Growth Mean for Rev Cycle Leaders?
Medicare Advantage enrollment grew at 3.9% last year despite market conditions unfavorable to payers.
CEO
HL Shorts: Why Providers Need to Educate Patients on Medicare Advantage
Combating deceptive marketing by Medicare Advantage plans can benefit patients and providers, says one hospital CEO.
Payer
Medicare Advantage: Why Members and Plans Paid More
Cost shares have as much as doubled as plans get a payment rate hike.
Payer
Rural Hospitals Question Whether They Can Afford Medicare Advantage Contracts
In addition to the reimbursement issue, rural hospitals' complaints include payment delays and denials.
CEO
Why Jefferson Health Went Out of Network with Cigna
The health system has taken the contract dispute public while the two sides continue negotiations.
CEO
HL Shorts - Medicare Advantage Reforms Providers Want to See Made
A combination of policies in place and willingness from payers to be accountable is needed, says one hospital CEO.
Revenue Cycle
What's in the Wind for Revenue Cycle Leaders in 2025? Three Trends to Watch.
A quarterly analysis of KPI data shows claim denial rates on the rise while patients struggle to pay their growing...
CEO
The Winning Edge: How Providers Are Battling Medicare Advantage
Medicare Advantage is exacerbating providers' financial and operational problems, making the current path almost untenable, say hospital CEOs.
CEO
Infographic: 3 Ways for Provider CEOs to Attack Medicare Advantage Contracts
Two hospital leaders share how providers can improve their standing in negotiations with Medicare Advantage payers.
CEO
How Hospital CEOs Are Strategizing to Lessen Medicare Advantage's Onerous Impact
Providers' frustration with the private program is palpable, but there are actions they can take to alleviate its consequences.