Insights on Medicare Affordability Challenges and Reform Implications
Analysis of Medicare affordability challenges highlights systemic issues and the need for reform in traditional Medicare and Medicare Advantage plans affecting coverage and costs.
Key CMS 2026 Medicare Advantage Final Rule Updates for Insurers
CMS finalizes critical 2026 Medicare Advantage rule changes, including anti-obesity drug coverage exclusion, AI regulatory deferral, and limits on retroactive inpatient stay denials affecting payers and providers.
Elevance Health Q1: Stable Profits Amid Rising Medical Costs and Legal Challenges
Elevance Health reports steady Q1 profits with growth in Medicare Advantage and Carelon despite elevated medical costs and legal challenges.
Elevance Reports Stable Medicare Advantage Costs Amid Market Volatility
Elevance Health's Q1 report shows Medicare Advantage utilization in line with expectations, Medicaid rate progress, and ACA expansion amid market volatility.
Medicare Advantage Market Growth Slows in Early 2025, Reports MFA
Mark Farrah Associates reports a slowdown in Medicare Advantage market growth with detailed enrollment and market share data for early 2025. Key tools aid insurers in competitive analysis post-Open Enrollment Period.
Healthcare Sector Faces Mixed Market Trends Amid Insurer Losses and Pharma Gains
April 2025 market update reveals insurer stock declines amid UnitedHealth earnings miss, offset by pharma gains led by Eli Lilly's drug innovation and strong healthcare sector earnings projections.
Medicare Advantage Costs, Challenges, and Broker Roles: Insights from SCAN Health Plan CEO
Medicare Advantage increases federal spending but offers lower out-of-pocket costs for seniors. SCAN CEO Sachin Jain highlights program flaws, risk adjustment abuses, and broker roles.
UnitedHealth Group Returns to Profit with Adjusted Earnings Outlook Revised
UnitedHealth Group reports a return to profitability in Q1 2025 with $6.4B net earnings, revises 2025 earnings outlook amid Medicare Advantage and Optum challenges.
Medicare Advantage Enrollment Growth Slows in 2025, For-Profit Plans Dominate
Medicare Advantage enrollment growth slows in 2025 with for-profit plans covering three-quarters of beneficiaries. Quality ratings decline and workforce shortages drive interest in advanced practice providers and AI solutions.
CMS Releases CY 2026 Final Rule Updating Medicare Advantage and Part D Programs
CMS finalizes key elements of the CY 2026 Medicare Advantage and Medicare Part D final rule, including insulin coverage expansion, Prescription Payment Plan codification, pharmacy data requirements, and updated enrollee protections.