Medicare Advantage
publication date
Payer
KFF Health News Sues to Force Disclosure of Medicare Advantage Audit Records
Lawyers for KFF say the information is 'critically important to public oversight of government misspending.'
Payer
Medicare Advantage's Hidden Headline (Part 2)
Special Needs Plans are surprisingly (and highly) profitable. That's good for payers ? but what about members?
CFO
Hospitals Push Back Against Proposed Site-Neutral Payments
This proposal isn't sitting well with the industry.
Payer
Watchdog Calls for Tighter Scrutiny of Medicare Advantage Home Visits
So far CMS has rejected OIG's push to limit payments for house visits with no medical treatment ? a potential...
CFO
New Bill Aims to Increase Physician Pay, Block Medicare Cuts
The Medicare Patient Access and Practice Stabilization Act would, if passed, boost physician pay by 4.7%, replacing Medicare?s planned 2.8%...
Payer
Medicare Advantage's Hidden Headline
The fastest-growing MA plans and what's behind the 2x growth in enrollment and profit margin.
CFO
Payer Denials Shake Community Health Systems Q3 Earnings
What can be done about aggressive payer tactics?
Payer
Medicare Advantage 2025: Expert Previews Plan Changes and Weighs in on Payment Rule Impacts
It's already an active season and we're just getting started.
CFO
Payers Are Playing Hardball—And Hospital CFOs Are Paying the Price
New data exposes aggressive tactics by payers for Medicare Advantage denials.
CEO
Cigna Revives Merger Talks with Humana: False Alarm or Real Deal?
The insurer giants are reportedly discussing combining once again after initial talks broke down last year.
Payer
Medicare Drug Plans Are Getting Better Next Year. Some Will Also Cost More.
KFF found that 'many insurers are increasing premiums' and that large insurers including UnitedHealthcare and Aetna may reduced the number...
CFO
No Advantage to Medicare Advantage
Many providers have had it with the government plan, and dozens have already left it this year.