Medicare Advantage
publication date
Payer
The Medicare Advantage Influence Machine
New court filings and lobbying reports reveal an industry drive to tamp down critics ? and retain billions of dollars...
Technology
Are RPM Programs Riddled With Fraud?
Digital health supporters say there?s no evidence of fraud in RPM programs, refuting an OIG report that calls out the...
CEO
Elevance Shores Up Medicare Advantage Business with IU Health Plans Acquistion
The payer is tightening its grasp on the MA market in the Hoosier State.
CFO
Providers Are Fed Up With Medicare Advantage
Sanford Health is the latest system to drop its MA plan with Humana. Why the trend?
Payer
A Lack of Parity In Parity? A National Recovery Month Spotlight
Coverage for substance use disorder varies but the view from 2024 looks so much brighter.
Payer
Will 2025 Mark a Turning Point for Medicare Advantage?
When is growth not enough to keep payers happy?
Payer
Feds Killed Plan To Curb Medicare Advantage Overbilling After Industry Opposition
Newly released court depositions show CMS officials repeatedly cited concerns about pressure from the industry.
Payer
Biden Administration Blocks Two Private Sector Enrollment Sites from ACA Marketplace
The unusual step comes as CMS is under the gun to curb unauthorized enrollment and switching of ACA plans by...
Payer
Medicare Advantage in 2024: Enrollment Update and Key Trends
The growth in Medicare Advantage enrollment is due to a number of factors, including the availability of plans that charge...
Payer
Sinking Stocks: UnitedHealth's Medicaid Warning
UnitedHealth is warning investors and other payers of a disturbance to the Medicaid market.
CFO
Yay for MA? System CFOs Bittersweet on New CMS Rules
Medicare Advantage rate cuts are coming next year, but prior-auth provisions slated for 2026 could tide palmier payer partnerships.