Tag: Medicare Advantage

Thomas Scully on Medicare Advantage Growth, Quality Metrics, and U.S. Healthcare Policy

Former CMS Administrator Thomas Scully discusses Medicare Advantage expansion, risk adjustment challenges, healthcare quality improvements, and the impact of bipartisan politics on U.S. healthcare policy.

CMS Proposes 2027 Medicare Advantage and Part D Updates Including IRA Changes and Star Rating Revisions

CMS issues proposed 2027 rules updating Medicare Advantage and Part D programs, implementing Inflation Reduction Act changes, revising star ratings, marketing oversight, and program integrity requirements.

2026 Medicare Advantage Plans: Evolving Extra Benefits and Tighter Eligibility

Analyze the 2026 trends in Medicare Advantage plans focusing on supplemental benefits like dental, vision, fitness, and transportation, with insights on eligibility shifts and cost management.

Key Payer-Provider Contract Negotiations Persist into Late 2025

Major U.S. payer-provider contracts with Blue Cross Blue Shield and UnitedHealthcare remain unresolved heading into late 2025, with potential coverage impacts for Medicare, Medicaid, and commercial plans.

Aetna Reinstates Providence Oregon Hospitals as In-Network for Commercial Plans

Aetna and Providence Health & Services resume in-network status for Oregon commercial plan members, enhancing provider access amid rising healthcare costs and evolving insurance agreements.

Medicare Advantage Employer-Group Market Enrolls 16.2% of Total MA Beneficiaries

Explore detailed enrollment trends for the employer-group Medicare Advantage market, which comprises 16.2% of total Medicare Advantage members as of late 2025. Insights by Mark Farrah Associates based on CMS data.

Vermont Health Insurance Enrollment Faces Complexity with Premium Hikes and Medicare Advantage Changes

Rising premiums, reduced subsidies, and Medicare Advantage exits complicate Vermont's health insurance enrollment. Officials urge early action and provide enrollment resources.

Employer-Group Medicare Advantage Enrollment Trends Highlight Market Shifts

Explore the latest trends in employer-group Medicare Advantage enrollment, with insights on market share, growth, and leading carriers based on CMS data analyzed by Mark Farrah Associates.

CMS Proposes Major Changes to Medicare Advantage and Part D for 2027

CMS's 2027 Proposed Rule introduces major Medicare Advantage and Part D program reforms including Star Ratings revisions, risk adjustment data access expansion, marketing rules relaxation, and new special enrollment periods for provider terminations.

Medicare Advantage Employer-Group Market Reaches 35.2M Enrollments in 2025

Explore the latest Medicare Advantage employer-group enrollment trends in 2025 with insights from Mark Farrah Associates based on CMS data, highlighting MA-EGWPs market share and regional dynamics.