A federal report finds many Medicare Advantage and Medicaid managed care plans list inaccurate mental health providers, affecting access and compliance. Recommendations include using billing data and creating a national provider directory.
Samaritan Health Plans exits Medicare Advantage in Lincoln County, Oregon, leaving Devoted Health as sole 2026 provider. Insights on market sustainability, special enrollment, and resources for seniors.
Explore the latest 2025 Medicare Advantage policy updates, including CMS rule changes on prior authorization, risk adjustment models, Star Ratings, supplemental benefits, provider directories, and marketing oversight.
Court upholds CMS decision on Humana Medicare Advantage star ratings amid rising class-action insurance lawsuits involving provider network inaccuracies and insurer duties.
Commonwealth Fund's Medicare State Scorecard highlights significant disparities in access, affordability, and quality of Medicare care across U.S. states, with Connecticut ranked 12th but 31st in quality metrics.
Wellcare expands Medicare Advantage plans to 51 million beneficiaries in 32 states and transitions dual-eligible members to integrated D-SNPs in 2026, reflecting industry shifts in Medicare-Medicaid integration and care coordination.
Medicare Part B premiums are set to rise significantly in 2026 amid medical inflation, while Part D prescription drug costs slightly decline nationally. Enrollment opens October 15 for plan changes including Medicare Advantage and Medigap options.
Federal court upholds CMS's star rating methods after Humana challenges foreign language interpreter test policy, impacting Medicare Advantage market competition and insurer revenues.
A U.S. court rejected Humana's attempt to contest the CMS 2025 Medicare Advantage ratings, affecting Humana's bonus payments and highlighting CMS's regulatory role.
Vermont Blue Advantage will discontinue Medicare Advantage plans in 2026, impacting 26,000 enrollees. HealthSpring assumes retiree plans amid market exits by UnitedHealthcare. State braces for enrollment shifts.
