Medicare Advantage
publication date
Finance
The Huge Opportunity to Use Technology to Bring 'Great Healthcare to More People': Interview With Clover Health's Andrew ToyThe visionary executive of a technology-oriented Medicare Advantage company outlines the future in this sector and the importance of being...
Revenue Cycle
New Legislation Aims to Eliminate Some Prior Authorization BurdensEstablishing an electronic prior authorization process and requiring HHS to establish a process for "real-time decisions" for items and services...
Payer
2022 Medicare Advantage Plan Overview, Part One: Costs and Leading Carriers"Medicare consumers overall ... crave stability of benefits and a hassle-free experience that gets them the care and coverage they...
Payer
Pre-2022 Annual Enrollment, a Look Back at 2021 Medicare Advantage Plan Features"As Medicare Advantage takes on an even larger presence in the Medicare program ? [it will] be important to monitor...
Payer
Sanford Health Plan Launches Bundled MA ProductThe new plan -- Align powered by Sanford Health Plan ? covers Medicare Advantage enrollees in South Dakota, North Dakota...
Payer
Anthem, UnitedHealthcare MA Plans Sanctioned for Missing MLR ThresholdWhen a Medicare Advantage plan fails for three straight years to meet the 85% threshold, CMS must suspend them from...
Telehealth
After 3 Months of Declines Telehealth Use StabilizesBefore May, telehealth as a percentage of medical claims had steadily fallen from February through April.
Payer
OIG: Medicare Advantage Overpaid Anthem $3.5MAnthem disputed the findings and rejected the recommendations in its rebuttal of the report.
Telehealth
Business Leaders, Healthcare Stakeholders Urge Congress to Support Audio-only TelehealthU.S. Chamber of Commerce, Harvard Pilgrim, Ascension, and others back audio-only Medicare Advantage bill.
Strategy
Humana Health Plan Overcharged Medicare by Nearly $200M, Federal Audit FindsThe OIG's recommendation to repay, if finalized, would be "by far the largest" audit penalty ever imposed on a Medicare...
Strategy
Study Finds Ongoing Confusion Among Medicare BeneficiariesGoHealth CMO, Paul Hain, MD, shares misconceptions Medicare beneficiaries have about Original Medicare and Medicare Advantage.
Innovation
Virtual Care Key to Humana-Mercy Value-Based ContractMedicare Advantage contract between Humana and Mercy expands to offer patients access to Mercy Virtual services. The arrangement is part...