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.
A new study outlines data challenges and proposes methods to improve analysis of Medicare Advantage plans, focusing on utilization, cost, and risk adjustment.
Congressional bill aims to improve Medicare Advantage comparisons by using accurate data and transparent methods, ensuring fair Medicare policy for seniors and taxpayers.
America's Essential Hospitals leads advocacy to prevent Medicaid DSH cuts and improve Medicare Advantage provider reimbursements during August recess.
Walmart introduces a feature allowing Medicare Advantage members to access plan benefits on Walmart.com, assisting seniors in maximizing healthcare-related savings while shopping.
Federal probes into UnitedHealth’s Medicare Advantage billing practices highlight potential increased regulatory oversight for clinical labs and changes to diagnostic data use in billing.
CMS 2026 outpatient rule proposes major changes including inpatient-only list elimination and expanded ambulatory surgery center procedures, impacting Medicare payment and compliance.
Aetna implements a new inpatient reimbursement policy for Medicare Advantage plans to streamline payments and align with CMS two-midnight rule, effective Nov 15, 2023.
Medicare remains stable amid upcoming Medicaid changes in 2026. Review benefits and prepare for Medicare Advantage Open Enrollment, Oct 15–Dec 7. Expert tips on plan adjustments and coverage details.
Rodney Powell, aka the Medicare Video Guy, earns top Medicare agent ranking in Texas for 2025, recognized for personalized Medicare Supplement, Advantage, and drug coverage guidance.
