Medicare Advantage
publication date
Payer
Medicare Advantage Insurers Have to Adjust How They Market to Seniors for 2024
Deceptive ads will be under the microscope going forward thanks to new CMS regulations.
Payer
CVS Health CEO Karen Lynch 'Optimistic' About Insurer's Medicare Advantage Star Ratings
Aetna's performance in the bonus program could have a sizeable impact on the payer's operating income.
Payer
5 Recent Market Exits by Health Insurers
Some payers have decided to shift their strategy or focus their attention on their core line of business.
Payer
3 Takeaways from Payers' Q2 Earnings Reports
Most major health insurers are so far experiencing positive results in the face of unknowns.
Revenue Cycle
Congress Proposes Relief on Prior Authorization, But CMS is Ahead of The Game
A couple of new bills, or rather, retreads of old bills, demonstrate increased congressional interest in reforming prior authorization (PA)...
Payer
Medicare Advantage Insurers to Receive $12.8B in Bonus Payments in 2023
New analysis reveals UnitedHealthcare and Humana are expected to earn nearly half of total bonus payments.
Payer
Insurers Pay Hospitals Twice as Much for Commercial Plans than Medicare Advantage
New findings reflect the differences in negotiating dynamics and financial incentives in the two markets.
Payer
Centene's Only 4-Star Medicare Advantage Contract in Jeopardy
The payer forecasts that its star ratings in the private program could suffer further after a difficult 2022.
Payer
Medicare Advantage Members More Socioeconomically Disadvantaged Than Traditional Medicare
New study analyzes differences in characteristics between beneficiaries as they're transitioning from commercial to Medicare coverage at 65.
Payer
Medicare Advantage Quality Bonus Program Overpays Insurers, Needs Reform
New research adds to the concern over quality improvement in the private program.
Finance
Hospital CFO Files Complaint Against UnitedHealthcare for Underpaying
The payer giant is once again facing a dispute over reimbursement issues, this time from Howard Memorial Hospital.
Payer
Molina to Buy Bright Health's Medicare Advantage Business for $510M
The deal will exit Bright Health from the insurance business as it shifts its focus to consumer care.