Impact, Consequences and Opportunities of the Great MA Carrier Exit of 2026
Discover how prominent health systems exiting Medicare Advantage by 2026 could impact seniors and reshape healthcare access and costs.
MultiCare to Exclude Certain Medicare Advantage PPO Plans in 2026
Starting in 2026, MultiCare will no longer accept certain Medicare Advantage PPO plans, impacting access for some seniors. The shift focuses on HMO plans for better care coordination during Medicare open enrollment.
CMS Proposes Medicare Advantage Star Ratings Overhaul, Amid Legal and Operational Updates
CMS proposes to revamp Medicare Advantage Star Ratings, affecting insurer compliance and operations. Legal appeals and health system updates also impact the US market.
Medicare Physician Payments Drop Over 33% Since 2016, Threatening Access and Sustainability
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.
Growing Network of U.S. Health System-Owned Insurance Plans Enhances Integrated Care
An overview of expanding health system-owned insurance plans across the U.S. highlighting integrated care, diverse product offerings, and enhanced provider networks.
New Federal Bill Could Reduce Medicaid and ACA Enrollment by Millions
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 Amid $350M Medicare Overbilling Probe
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 Launch 65 Prime+ Clinics for Medicare Seniors
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.
Growing Criticism of Medicare Advantage Administration
The article discusses the challenges faced by Medicare Advantage, including rising claims denials and contract disputes between health systems and insurers.
60,000 Minnesota Seniors Face Network Changes as Providers Exit Humana
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.