Physician incomes from Medicare have fallen over 33% since 2016 due to stagnant reimbursements and increased costs, prompting health systems to reconsider Medicare Advantage participation. This shift threatens patient access and could reshape Medicare's physician landscape.

An overview of expanding health system-owned insurance plans across the U.S. highlighting integrated care, diverse product offerings, and enhanced provider networks.

The recent One Big Beautiful Bill Act is projected to decrease enrollment in Medicaid and the Affordable Care Act by 11.8 million, impacting health coverage and patient insurance eligibility across key health systems.

Villages Health System files Chapter 11 bankruptcy following a $350 million Medicare overbilling investigation amid increased Medicare Advantage audits and tighter regulatory scrutiny.

Mercy and Humana collaborate to open 65 Prime+ clinics in Missouri, enhancing Medicare senior care with tailored primary care services and expanded access to Medicare Advantage plans.

The article discusses the challenges faced by Medicare Advantage, including rising claims denials and contract disputes between health systems and insurers.

Major changes in Minnesota's health care network will impact 60,000 seniors as North Memorial and Avera Health exit the Humana Medicare Advantage plan. Learn more about the implications and what options may be available for beneficiaries.