Medicare Advantage plans serving 30 million Americans may face cuts or changes due to rising medical utilization and costs. This impacts benefits, networks, and out-of-pocket costs, making the Medicare Annual Election Period critical for plan comparisons.

Analyze how Cigna outperforms UnitedHealth in the U.S. managed care sector amid rising medical costs and regulatory challenges. Insights on earnings, valuation, and sector strategy.

CMS approves Medicare coverage for Abbott's TriClip G5 device, expanding access to minimally invasive tricuspid valve repair for eligible beneficiaries.

Clover Health launches a New Jersey pharmacy pilot targeting medication adherence and hospitalization cuts to improve Medicare Advantage margins and unlock growth potential.

The DOJ is probing UnitedHealth Group's Medicare Advantage payment practices, with focus on diagnosis coding and compliance. The investigation involves FBI and HHS and impacts stock value amid healthcare sector scrutiny.

Senior Market Sales acquires Michigan-based Giardini Medicare, enhancing digital Medicare education and marketing capabilities through social media.

Analysis reveals most hospitals lose money on Medicare inpatient fee-for-service cases, with stronger financial performance in for-profit versus not-for-profit and teaching hospitals due to cost and payment structures.

Declining Medicaid and Medicare reimbursements strain private orthopedic practices, limiting patient access and prompting calls for policy reforms to support sustainability and equitable care.

CMS launches WISeR model applying AI-driven prior authorization to Traditional Medicare, targeting fraud and waste with clinician oversight. Providers face operational and financial impacts.

The DOJ is investigating UnitedHealth Group for Medicare Advantage billing practices amid nationwide scrutiny on upcoding, prompting CMS to increase audits of plans and intensify fraud prevention efforts.