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Two reports by U.S. investigators reveal how Medicare Advantage is quick to reject requests for short-term nursing home care or inpatient services.
Federal investigators found the biggest Medicare Advantage insurers rejected over 70% of long-term care requests — leaving families facing bills up to $49,000.
The feds are set to pay out at least $13.4 billion in Medicare quality bonus payments this year, up slightly year-over-year and reflecting a rapid escalation in spending over the p...
Medicare Advantage switching is accelerating in 2026, with 2.9 million enrollees forced out and 600,000 moving to Original Medicare. The post Why More Retirees Are Ditching Medicar...
Imagine opening your mailbox and finding a letter that says your Medicare Advantage plan won’t be available next year. No negotiation, no appeal — just a notice that your insurer…...
My friends tell me a Medicare Advantage plan would be less costly than the Medicare supplement that I am enrolled in.
The payment by Elevance Health to the Centers for Medicare & Medicaid Services comes as the agency threatened to bar new enrollments in the company’s plans.
Millions of Medicare beneficiaries received an unpleasant surprise heading into 2026. Approximately 2.9 million Medicare Advantage enrollees were forced to find new coverage after...
Today’s adjustment offers insight into what the next phase of the program is focusing on and will subsequently reward, and why this moment matters, especially for newer and regiona...
An OIG report found that the three largest Medicare Advantage insurers denied prior authorization requests for long-term acute care and inpatient rehabilitation at higher rates tha...
For thousands of Texas seniors, a letter from their Medicare Advantage provider can create immediate anxiety. Some plans are being discontinued, while others are withdrawing...
Do Medicare Advantage enrollees like plans with more prior authorization? On the one han, one would think the answer is a clear ‘no’. However, higher levels of prior authorization...
WEDNESDAY, June 24, 2026 — The three largest Medicare Advantage insurers turned down requests for post-hospital care at some of the highest rates among major plans, a federal watch...
Your insurance broker is getting a hefty commission to put you — and keep you — in a Medicare Advantage plan.
The Centers for Medicare & Medicaid Services recently delivered good news to seniors on the Medicare Advantage (MA) program, guaranteeing a 2.48% increase for the 2027 MA rate...
A new federal report suggests that Medicare Advantage plans may have earned millions in overpayments tied to unsupported stroke diagnoses.
KFF estimates Medicare will spend $13.4 billion on the Medicare Advantage Quality Bonus Program in 2026 amid continued scrutiny of the program. The post Medicare to Spend $13B on M...
Retirees using Medicare Advantage health insurance under the State Health Plan will see significant increases next year. The Plan’s Board of Trustees voted Friday to approve the in...
A new federal watchdog report dings the three largest Medicare Advantage insurers for frequent prior authorization denials for long-term care hospital and inpatient rehabilitation...
The Centers for Medicare & Medicaid Services’ (“CMS’s”) guidance governing Medicare Advantage marketing practices has continued to evolve over the past several years, with regu...
To truly deliver on the promise of proactive, preventive care for seniors with complex, chronic conditions, we should move away from the current one-year open enrollment cycle and...
For a majority of Medicare and Medicaid recipients, the government program is paying a private health insurance company to provide the service from a private firm. In the Spring 20...
Thousands of people who had a Medicare drug plan with zero-dollar premiums last year got small premium increases this year — and didn’t know it. They were dropped from their covera...
Beneficiaries face a series of complex decisions in enrolling in Medicare coverage. A key federal panel outlines some of the pain points, alongside other policy recommendations and...
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