Seven major U.S. healthcare corporations avoided $34 billion in taxes after the 2017 tax law while increasing profits and insurance claim denials, with implications for patient care quality and regulatory scrutiny.

New MedPAC analysis finds increased Medicare Advantage enrollment has no significant negative effect on hospital profit margins, challenging claims from hospital groups.

UnitedHealth Group anticipates 78% of Medicare Advantage members will be enrolled in plans rated four stars or above in 2024, enhancing eligibility for Medicare bonus payments and supporting its health insurance segment.

UnitedHealth expects about 78% of its Medicare Advantage members to be enrolled in plans rated four stars or above in 2027, signaling strong quality performance under CMS metrics.

Elevance Health and leading insurers recalibrate Medicare Advantage plans and Part D coverage amid rising costs and regulatory shifts, focusing on risk management and compliance.

Explore effective strategies for U.S. healthcare professionals to navigate and overcome prior authorization denials, including regulatory context, appeals process insights, and advocacy tools.

SCAN Group launches a multi-media campaign exposing systemic problems in Medicare Advantage insurance, focusing on coverage gaps, patient access issues, and the impact on healthcare costs during Medicare enrollment.

Explore the impact of major Medicaid cuts, ACA subsidy eliminations, nursing home funding delays, and healthcare cost increases following the 2026 federal budget changes affecting the U.S. healthcare system.

CMS delays the Medicare Advantage rule requiring midyear reminders about unused supplemental benefits to 2026, addressing insurers' readiness and data tracking challenges.

New algorithmic approaches improve fairness in Medicare Advantage payment models, promoting equitable spending for minority beneficiaries without reducing predictive accuracy.