InnovationMedicare Advantage Star Rating Calculations Change; Act Now to Change 2023 Perceptions
Experience, access, and complaints will matter more in future scores; current studies indicate plans currently are not communicating well with...
Clinical CareMedicare Part D Model Caps Insulin Copays at $35 a Month
Beneficiaries who use insulin and join a plan participating in the voluntary model, beginning January 2021, could see average out-of-pocket...
FinancePandemic Delays Federal Probe Into Medicare Advantage Health Plans
CMS says the decision will allow insurers and the agency to "focus on patient care," and will last "until after...
Clinical CareCMS Lifts Barriers to COVID-19 Tests, Treatments
MA, Part D plans given option to waive cost-sharing and prior authorizations.
StrategyCMS Proposes 0.93% Pay Rate Hike for MA Plans in 2021
The rate hike is part of a broader package of proposed "refinements" for Medicare Advantage and the Part D Quality...
FinanceVenture-Backed Bright Health to Acquire Brand New Day Health Plan
The health insurance startup is eyeing a larger play in the Medicare Advantage market with the purchase of the California...
FinanceCentene Sells IlliniCare to CVS as Part of WellCare Merger
The sale includes Centene's Medicaid and Medicare Advantage plans in Illinois.
FinanceHumana Cuts $3.5B in Care Costs Through Medicare Advantage
The Louisville-based insurer's annual value-based care report found Medicare Advantage members are going to the hospital less often.
StrategyWhistleblower Alleges Medicare Fraud At Iconic Seattle-Based Health Plan
Suit alleges that Group Health Cooperative claimed some patients were sicker than they were, and billed for medical conditions that...
FinanceTrump Speech Offers Dizzying Preview Of His Healthcare Campaign Strategy
The president took aim at the overhaul plans advocated by his Democratic opponents and claimed Republicans are committed to protecting...
FinanceKHN Files Lawsuit To Force CMS To Disclose Medicare Advantage Audits
KHN seeks copies of 90 government audits of Medicare Advantage health plans conducted for 2011, 2012 and 2013 but never...
Premiums for Medicare Advantage Expected to Drop 23% for 2020
HHS says MA plan options, benefits, and enrollment are expected in increase in the coming year.