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 CMS released 2026 Medicare Advantage star ratings showing mixed results for major insurers. Star ratings affect bonus payments and rebates, impacting insurer revenues and market strategy.
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.
Sentara Health Plans will discontinue several Medicare Advantage products in Virginia, North Carolina, and Florida by end of 2025 due to financial and regulatory challenges, affecting member coverage options during Medicare open enrollment.
HealthSpring unveils comprehensive Medicare plans for 2026, featuring enhanced benefits, chronic condition support, and expansive coverage in 29 states and DC. Enrollment opens October 15.
UnitedHealth will stop offering Medicare Advantage plans in 16 U.S. counties by 2026 due to CMS funding cuts and rising healthcare costs, impacting 180,000 members and shifting focus to sustainable care models.
Freedom Health agreed to pay $31.7M to settle allegations of False Claims Act violations relating to Medicare Advantage payment schemes. The settlement underscores regulatory enforcement in managed care and Medicare compliance.
Humana and Aetna reduce Medicare Advantage plan coverage in response to rising costs and government payment challenges, impacting millions of Medicare beneficiaries.
Blue Cross Blue Shield to discontinue Vermont Medicare Advantage plans next year after substantial financial losses, impacting 30,000 Vermonters and requiring plan changes.
