Medicare Advantage
publication date
Payer
7 Achievements and Recommendations from the Alliance of Community Health Plans"We know nothing in healthcare will be successful if we do not have a way to pay for it?and if...
Payer
The 6 Most Important Health Plan Trends of 2022—Plus a Big Reform Question Mark"This is a whole new ballgame," notes one academic consultant?an observation about marketplace exchanges that also applies to every aspect...
Payer
Researcher: Medicare Advantage Plans Costing Billions More Than They ShouldNearly $34 billion of new spending came during 2018 and 2019, the latest payment period available.
Payer
Democrats' Plans to Expand Medicare Benefits May Pinch Advantage Plans' FundingCritics of the Medicare Advantage program have long argued that the government is too generous in paying the private plans.
Payer
Medicare Plans' 'Free' Dental, Vision, Hearing Benefits Come at a CostServices are at the center of heated negotiations on Capitol Hill among Democrats as they seek to expand a number...
Payer
2022 Medicare Advantage Plan Overview, Part Three: Social Determinants"Medicare Advantage plans have a unique and growing opportunity to address the needs of socioeconomically vulnerable populations and improve their...
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...