New Law To Eliminate Deceptive MA Comparisons to Protect Vulnerable Seniors
Congressional bill aims to improve Medicare Advantage comparisons by using accurate data and transparent methods, ensuring fair Medicare policy for seniors and taxpayers.
CareOregon Ends Out-of-Network Behavioral Health Coverage in Oregon
CareOregon will discontinue out-of-network behavioral health coverage for Medicaid and Medicare Advantage members, impacting 15,000 patients in Oregon. The change aligns with industry practices post-COVID-19 expansion.
CBO to Release Updated Federal Budget, Demographic, and Economic Projections for Fiscal Year 2025
The Congressional Budget Office will publish updated federal budget deficit estimates, demographic trends, and economic forecasts for fiscal year 2025, incorporating recent legislative and administrative changes.
Medicare Part D Premiums May Rise Up to $50 Monthly in 2025
Medicare Part D enrollees may face significant premium hikes up to $50 monthly in 2025 due to increased drug spending, policy changes, and reduced federal stabilization funding. Compare plans during open enrollment.
Federal Court Upholds CMS Medicare Advantage Star Ratings, Denies Elevance Health Lawsuit
Texas federal judge rules against Elevance Health in lawsuit over Medicare Advantage star ratings, impacting $375 million in bonus revenue. CMS methodologies upheld.
Urban Hospitals Exploit Medicare Dual Classification to Access Rural Benefits
Urban hospitals are increasingly using Medicare's dual classification to claim rural benefits, impacting funding for truly rural hospitals and raising policy concerns.
Connecticut Medicare Advantage Plan Raises Access Concerns Despite Cost Savings
Connecticut's shift to Medicare Advantage for state retirees saves $1.7 billion but raises access and prior authorization concerns. Efforts to restore traditional Medicare options underway.
New York State Medicaid Loses $500M from Inadequate Medicare Enrollment Oversight
New York State's failure to enforce Medicare enrollment for eligible seniors costs Medicaid $500 million amidst federal funding cuts, raising concerns over state health spending and oversight.
Study Highlights Data Challenges in Evaluating Medicare Advantage Plan Use and Cost
A new study outlines data challenges and proposes methods to improve analysis of Medicare Advantage plans, focusing on utilization, cost, and risk adjustment.
Atlantic American's Q2 2025 Turnaround Highlights Niche Insurance Growth
Atlantic American (AAME) posted $3.3M net income in Q2 2025 driven by niche P&C and Medicare supplement growth, backed by disciplined capital and investment management.