Tag: Medicare Advantage

Medicare Dental Coverage Gaps Pose Financial Risks for Retirees

Most Medicare plans do not cover routine dental care, exposing retirees to significant out-of-pocket expenses. Dental Savings Plans offer a cost-effective alternative to manage dental care costs in retirement.

UnitedHealth Seeks Dismissal of Ballad Health Medicare Advantage Lawsuit

UnitedHealth Group moves to dismiss Ballad Health's Medicare Advantage lawsuit citing binding arbitration agreements and jurisdiction issues in federal court.

2026 Medicare Annual Enrollment: Key Insurance Plan Transition Protocols

Understand the 2026 Medicare Annual Enrollment Period processes, including plan cancellations and transitions among Medicare Advantage, Medigap, and Part D drug plans, to maintain seamless healthcare coverage.

ILS and OPEN MINDS Partner to Enhance Care Coordination for Vulnerable Populations

Independent Living Systems and OPEN MINDS form a strategic partnership to improve care coordination and community-based supports for vulnerable populations in Medicare, Medicaid, and Dual-Eligible markets.

CMS Proposes Overhaul of Medicare Advantage Star Ratings System

CMS is proposing major reforms to Medicare Advantage Star Ratings to address administrative measure concerns raised in industry lawsuits. These changes could impact plan quality assessments and compliance.

Atrium Health and ApexHealth Legal Dispute Over Medicare Advantage Plan Partnership

Atrium Health and ApexHealth are embroiled in a legal dispute over a Medicare Advantage partnership, with allegations of contract breach and deceptive trade practices potentially increasing damages significantly. The case highlights challenges in Medicare Advantage network collaborations and regulatory compliance.

MedPAC Highlights Need for Post-Acute Care Reform and Payment Alignment

MedPAC underscores the need for aligning post-acute care payments, reforming Medicare Advantage prior authorizations, and advancing value-based programs in upcoming Medicare policies.

Advancements and Market Trends in U.S. Exoskeleton and Wearable Robotics Technology

Explore the latest U.S. market insights on exoskeleton and wearable robotics technology, including Medicare Advantage reimbursement expansions, regulatory certifications, and industrial applications enhancing worker safety and rehabilitation.

Medicare Advantage Plans Face Criticism Over Care Delays and Hospital Participation

Medicare Advantage plans attract over half of Medicare enrollees but face scrutiny for claim delays and hospital network restrictions, prompting legislative transparency efforts.

CMS Proposes Overhaul of Medicare Advantage Star Ratings, Shifts Focus to Outcomes

CMS proposes major changes to Medicare Advantage Star Ratings, removing administrative measures and focusing on patient outcomes with mixed reactions from healthcare stakeholders.