Court upholds CMS decision on Humana Medicare Advantage star ratings amid rising class-action insurance lawsuits involving provider network inaccuracies and insurer duties.
Community paramedics and post-discharge monitoring reduce hospital readmissions and Medicare penalties, improving patient outcomes and cost efficiency in Minnesota hospitals.
The 2025 Commonwealth Fund Medicare Scorecard ranks Gulf South states lowest nationally due to challenges in access, quality, costs, and population health for older adults and disabled Medicare beneficiaries.
Samaritan Health Plans exits Medicare Advantage in Lincoln County, Oregon, leaving Devoted Health as sole 2026 provider. Insights on market sustainability, special enrollment, and resources for seniors.
Medicare Part B premiums are set to rise significantly in 2026 amid medical inflation, while Part D prescription drug costs slightly decline nationally. Enrollment opens October 15 for plan changes including Medicare Advantage and Medigap options.
Federal court upholds CMS's star rating methods after Humana challenges foreign language interpreter test policy, impacting Medicare Advantage market competition and insurer revenues.
A U.S. court rejected Humana's attempt to contest the CMS 2025 Medicare Advantage ratings, affecting Humana's bonus payments and highlighting CMS's regulatory role.
Explore key distinctions between Original Medicare and Medicare Advantage plans for 2025, including coverage, costs, provider choice, and supplemental benefits to guide Medicare enrollment decisions.
Vermont Blue Advantage will discontinue Medicare Advantage plans in 2026, impacting 26,000 enrollees. HealthSpring assumes retiree plans amid market exits by UnitedHealthcare. State braces for enrollment shifts.
The No UPCODE Act aims to save taxpayers $124 billion by curbing Medicare overbilling practices by insurers like UnitedHealthcare, promoting fiscal responsibility and enhancing Medicare program sustainability.
