INSURASALES

Medicare Advantage Accelerates Claims Approval for Exoskeleton Devices

Lifeward reports accelerated Medicare Advantage claims approvals for ReWalk 7 Exoskeleton, improving access and payment timelines in 2025.

UnitedHealth Medicare Plan Ratings Rise; AI Infrastructure Boosts Market Players

UnitedHealth plans to have most Medicare Advantage enrollees in four-star plans by 2026, while AI infrastructure deals influence technology and semiconductor markets, impacting health insurers and chipmakers alike.

OIG Highlights Medicare RPM Billing Risks in 2025 Report

The August 2025 OIG report analyzes Medicare billing for remote patient monitoring services, highlighting fraud risks and compliance recommendations amid rising RPM usage.

Medicare Advantage Linked to Increased Hospital Length of Stay Post-Pandemic

Study reveals Medicare Advantage beneficiaries face longer hospital stays post-pandemic, driven by skilled nursing facility shortages and administrative barriers, impacting healthcare operations and costs.

Medicare Advantage Growth Shows No Significant Impact on Hospital Financial Margins

New MedPAC analysis finds increased Medicare Advantage enrollment has no significant negative effect on hospital profit margins, challenging claims from hospital groups.

UnitedHealth Expects Majority Medicare Advantage Members in High-Rated Plans for 2024

UnitedHealth Group anticipates 78% of Medicare Advantage members will be enrolled in plans rated four stars or above in 2024, enhancing eligibility for Medicare bonus payments and supporting its health insurance segment.

UnitedHealth Projects 78% of Medicare Advantage Members in 4-Star+ Plans for 2027

UnitedHealth expects about 78% of its Medicare Advantage members to be enrolled in plans rated four stars or above in 2027, signaling strong quality performance under CMS metrics.

Medicare Enrollment Choices Fuel Social Tensions Among Seniors

Medicare enrollment decisions between Advantage plans and traditional coverage are increasingly causing social tensions among seniors, fueled by misinformation and financial concerns. This dynamic affects personal relationships and highlights the complexities in senior healthcare insurance choices.

Medicare and Social Security Trust Funds Face Insolvency by 2033; Nebraska Offers Medicare Education

Medicare and Social Security trust funds are expected to run dry by 2033 due to rising hospital costs and weak wage growth, potentially reducing benefits by 23%. Nebraska offers Medicare education programs to assist beneficiaries in understanding their options.

CMS Pilot Uses AI for Medicare Prior Authorization, Faces Oversight Calls

CMS launches AI-driven pilot to streamline Medicare prior authorization for select services, prompting legislative calls for independent oversight to ensure patient safety and regulatory compliance.