Social Media Ideas for Medicare Advantage Marketing Practices

CMS Revises Medicare Advantage Marketing Guidance for Scope of Appointment Forms

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...

Medicare Advantage Company Pays $342M to Government in Midst of Billing Probe

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.

Medicare Advantage brokers rake in $10 billion a year in commissions — but how many people are they helping?

Your insurance broker is getting a hefty commission to put you — and keep you — in a Medicare Advantage plan.

These Private Medicare Plans Denied Specialized Care at Highest Rates

Federal investigators found the biggest Medicare Advantage insurers rejected over 70% of long-term care requests — leaving families facing bills up to $49,000.

OIG: 3 Largest MA Insurers Deny Prior Auth Requests at High Rates for Long-Term Acute Care, Inpatient Rehab

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...

Medicare Advantage Plans Often Deny Seniors Access to Special Care, Analysis Shows

Two reports by U.S. investigators reveal how Medicare Advantage is quick to reject requests for short-term nursing home care or inpatient services.

OIG: Frequent MA prior authorization denials for long-term care hospitals, inpatient rehab

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...

UnitedHealth, Humana And CVS Denied Post-Hospital Care At Some Of The Highest Rates

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...

Medicare Advantage plans set to rake in $13B in 2026 quality bonus payments

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...

What do Medicare Advantage enrollees think about prior authorization? Actions speak louder than words

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...

What to Do If You Lose Your Medicare Advantage Plan

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…...

Texas Seniors Dropped From Medicare Advantage Have Until This Deadline to Avoid a Coverage Gap

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...

SMP Hawaiʻi promotes Medicare Fraud Prevention Week

Protecting your Medicare number has never been more important. Every year, scammers target our kūpuna, using stolen Medicare information to file false claims that drain an estimat...

Elevance Health sues CMS over MA star ratings recalculations

Elevance Health is suing the feds over its recent recalculations for the 2026 Medicare Advantage star ratings.

Why More Retirees Are Ditching Medicare Advantage for Original Medicare

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...

OIG: Feds may have overpaid MA plans by millions due to unsupported stroke diagnoses

A new federal report suggests that Medicare Advantage plans may have earned millions in overpayments tied to unsupported stroke diagnoses.

Medicare Advantage’s Big Decision: Reset or Retreat?

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...

Don’t Throw Away This Medicare Letter—It Could Change Your Coverage Next Year

Every fall, millions of Medicare Advantage and Part D members receive a thick envelope that looks like routine insurance paperwork. Many people set it aside...

HHS-OIG Issues Favorable Advisory Opinion for Free Multi-Cancer Detection Supplemental Reports Provided with Medicare-Co...

Clover Health Decision Raises Significant Questions for CMS Star Ratings Framework

MedPAC offers a look at enrollment hiccups for Medicare beneficiaries

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...

3 Million Seniors Lost Their Medicare Advantage Plan in 2026: 7 Moves to Make Before Your Coverage Lapses

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...

Elevance Sues CMS Over Star Ratings, Seeks Same Recalculation Applied to Clover

Elevance filed a lawsuit last week against the Department of Health and Human Services and the Centers for Medicare & Medicaid Services, alleging that CMS unlawfully refused to...

Stop the Revolving Door: Why Five-Year Contracts are the Key to Saving Medicare Advantage

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...