Tag: Medicare Advantage

Curitics Health Solutions Names John Gorman Executive Advisor to Boost AI-driven Healthcare Tech

Curitics Health Solutions appoints John Gorman as Executive Advisor to advance AI-driven healthcare technology focused on Medicare Advantage, Medicaid, and value-based care.

MedPAC Discusses 2027 Medicare Payment Updates and Policy Adjustments

MedPAC reviews and recommends 2027 Medicare payment updates including base payment adjustments, Medicare Safety-Net Index changes, and outpatient payment policies.

Penn Highlands Healthcare Supports Multiple Medicare Advantage Plans for 2026

Penn Highlands Healthcare participates in various Medicare Advantage Plans for 2026, including UPMC for Life Plans, with some regional limitations in Pennsylvania.

Fitch Downgrades Humana Credit Ratings Amid Medicare Advantage Payment Cuts

Fitch lowers Humana's credit ratings due to sustained healthcare utilization and reduced Medicare Advantage bonus payments, impacting insurer financial strength.

Vermont Officials Advise Residents on 2026 Health Insurance Changes Amid Subsidy Expiration

Vermont faces rising health insurance premiums and coverage challenges in 2026 as enhanced ACA subsidies expire and Medicare Advantage plans withdraw, prompting officials to advise timely enrollment and offer guidance.

Senators Seek to Block AI-Driven Medicare Prior Authorization Pilot

U.S. Senators propose legislation to halt CMS's AI-driven Medicare prior authorization pilot, citing concerns over care delays and provider burden in six states including Washington.

Medicare Advantage Star Ratings: Personalized Engagement Drives Quality and Funding

Explore how personalized, data-driven member engagement strategies are essential for Medicare Advantage plans to maintain and improve Star Ratings, impacting funding and member retention.

Medicare Advantage Dental Plan Acceptance Changes Impact Access for Retirees

Changes in Medicare Advantage dental plan acceptance by providers may affect retirees relying on these plans post-COBRA and entering Medicare. Provider network adjustments emphasize the need for awareness in dental insurance selection under Medicare.

Ohio ACA Premiums Surge as Enhanced Subsidies Expire, Uninsured Rate Set to Rise

Ohio's uninsured rate may rise 29% in 2026 as ACA premiums increase sharply with the expiration of enhanced subsidies. Learn about market impacts and enrollment trends.

Elevance Health Advances Integrated, Data-Driven Health Plans for 2025

Elevance Health enhances 2025 health plans with integrated care coordination, digital tools, and community partnerships, improving outcomes and affordability in Medicare and Medicaid programs.