Flaws of the Medicare Advantage ‘quality’ ratings exposed in insurance-company lawsuits
Big Medicare Advantage insurance companies have filed lawsuits against the federal government, furiously attacking the ...
OPINION | Feldman: Avoid Medicare Advantage programs
The majority of Medicare patients opt into Medicare Advantage programs, considering them more affordable with lower premiums.
Orange County Register1d
Senior living: Watchdog calls for tighter scrutiny of Medicare Advantage home visits
A new federal watchdog audit is ratcheting up pressure on government officials to crack down on billions of dollars in ...
Becker's Hospital Review1d
'We're going to have to fix this ourselves': 4 CFOs on navigating Medicare Advantage
Medicare Advantage now provides health coverage to around 55% of the nation’s seniors, but some hospitals and health systems are choosing to end contracts with some MA plans due to administrative ...
HealthLeaders Media1d
Medicare Advantage’s Hidden Headline (Part 2)
That’s good for payers — but what about members? For private payers, Medicare Advantage (MA) has been a lucrative business. “Plans have had strong incentives to enter the MA market: relatively stable, ...
The Harvard Crimson4d
Medicare Advantage Plans Receive Billions in Excess Funding for Veterans Health, Harvard Researchers Find
Medicare Advantage plans may receive as much as $1.3 billion in excess funding for veterans who receive nearly no care ...
Saving Medicare Advantage from Itself
From 2013 to 2023, total enrollment grew 27 percent, resulting in 65 million total beneficiaries and a total expenditure of ...
McKnight's Long-Term Care News7d
Report: CMS paid $1B+ to Medicare Advantage plans with veterans who did not use services
In 2020, the the Centers for Medicare & Medicaid Services (CMS) paid more $1 billion to Medicare Advantage plans that ...
Modern Healthcare13d
Aetna axes some Medicare Advantage, Part D commissions
Insurance brokers won't be compensated for enrolling people into more than two dozen Aetna Medicare Advantage plans in 10 ...
aha.org2d
AHA Responds to CMS Medicare Advantage Data and Audit Proposed Protocol
LaSureAdministratorCenters for Medicare & Medicaid Services7500 Security BlvdBaltimore, MD 21244Re: CMS-10913 Medicare Part C Utilization Management Annual Data Submission and Audit Protocol Data Requ ...
The American Journal of Managed Care1d
Veterans’ Medicare Advantage Enrollments Drive Cost Duplication
This research is not the first to uncover duplicative and wasteful spending on health care for veterans who receive care ...
The Herald-Standard1d
WVU Uniontown Hospital won’t participate with Highmark PA Medicare Advantage in 2025
WVU Medicine – Uniontown Hospital has notified patients that Highmark PA Medicare Advantage will not participate with the ...