The Sickest Patients Are Fleeing Private Medicare Plans—Costing Taxpayers Billions
Medicare Advantage patients in the last year of life were far more likely to switch to traditional Medicare, shifting costs ...
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 ...
Becker's Hospital Review7h
'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 ...
Orange County Register13h
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 ...
Medicare Advantage insurers appeal to the Hill
Medicare Advantage insurers are gearing up to convince lawmakers that the Biden administration’s policies have been detrimental to older Americans enrolled in the privately run alternative to Medicare ...
HealthLeaders Media15h
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 Republic3dOpinion
Guest column: Be wary of Medicare Advantage Plans if expensive services or rehab is necessary
We’re in the Medicare open-enrollment season. I strongly advise patients signing up for Medicare to avoid Part C Medicare ...
The Harvard Crimson3d
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 ...
The Herald-Standard11h
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 ...
Hometown Source4h
Essentia Health to remain in-network for UnitedHealthcare’s Medicare Advantage insurance plan
Essentia Health has reached an agreement with UnitedHealthcare (UHC) to remain an in-network provider for UHC’s Medicare Advantage insurance plan in 2025.
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 ...
The American Journal of Managed Care8h
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 ...