Medicare Advantage
publication date
CFO
Prepare Your Budget: 9 Healthcare Finance Predictions for 2025
From AI to reimbursement, CFOs have a lot to think about for 2025.
Payer
In Settling Fraud Case, NY Medicare Advantage Insurer, CEO Will Pay up to $100M
Independent Health will make "guaranteed payments" of $34.5 million in installments from 2024 through 2028.
Payer
How America Compares: Older Adults and Coverage Without Care
A new Commonwealth Fund survey explores the intersection of finances and healthcare among older adults, including differences between Medicare and...
CEO
Dr. Oz Loves Medicare Advantage, Providers Hate It. What Could Oz's CMS Takeover Mean for the Future?
One way or another, Medicare Advantage is in for a change in 2025.
Payer
KFF Health News Sues to Force Disclosure of Medicare Advantage Audit Records
Lawyers for KFF say the information is 'critically important to public oversight of government misspending.'
Payer
Medicare Advantage's Hidden Headline (Part 2)
Special Needs Plans are surprisingly (and highly) profitable. That's good for payers ? but what about members?
CFO
Hospitals Push Back Against Proposed Site-Neutral Payments
This proposal isn't sitting well with the industry.
Payer
Watchdog Calls for Tighter Scrutiny of Medicare Advantage Home Visits
So far CMS has rejected OIG's push to limit payments for house visits with no medical treatment ? a potential...
CFO
New Bill Aims to Increase Physician Pay, Block Medicare Cuts
The Medicare Patient Access and Practice Stabilization Act would, if passed, boost physician pay by 4.7%, replacing Medicare?s planned 2.8%...
Payer
Medicare Advantage's Hidden Headline
The fastest-growing MA plans and what's behind the 2x growth in enrollment and profit margin.
CFO
Payer Denials Shake Community Health Systems Q3 Earnings
What can be done about aggressive payer tactics?
Payer
Medicare Advantage 2025: Expert Previews Plan Changes and Weighs in on Payment Rule Impacts
It's already an active season and we're just getting started.