Tag: Medicare Advantage

CMS Proposes Major 2027 Medicare Advantage and Part D Program Reforms

CMS proposes extensive changes to the 2027 Medicare Advantage and Part D programs, including benefit design reforms, new enrollment rules, marketing policy updates, and modifications to quality ratings and special needs plans.

33 Hospital Systems Leaving Medicare Advantage Networks Amid Cost and Authorization Issues

Thirty-three major U.S. hospital systems are discontinuing Medicare Advantage contracts due to prior authorization and payment challenges, affecting network coverage and Medicare plan efficiency.

Humana and UnitedHealthcare Expand Medicare Advantage Coverage for Lifeward Exoskeleton

Humana and UnitedHealthcare approve Medicare Advantage coverage for Lifeward's ReWalk 7 exoskeleton, enhancing access for spinal cord injury patients and supporting scalable growth.

Medicare Open Enrollment: Comparing Supplemental and Advantage Plans

Medicare Open Enrollment runs until Dec. 7, allowing beneficiaries to choose between Supplemental plans and Medicare Advantage plans that enhance Original Medicare coverage including prescription drug options.

Year-End Medicare Coverage Review and Enrollment Insights for Beneficiaries

Explore key Medicare year-end actions including coverage review, Open Enrollment details, preventive benefits utilization, and fraud awareness to optimize 2024 Medicare plans.

eHealth Survey: Majority Satisfied with 2026 Health Insurance Options Amid Cost Concerns

eHealth survey finds most Americans satisfied with 2026 health insurance options despite premium cost concerns, highlights Medicare Advantage trends and growing AI use in plan selection.

KFF Analysis Highlights Medicare Advantage Diagnosis Additions Impacting CMS Payments

KFF analysis of 2022 Medicare Advantage data shows 17% had diagnosis additions increasing CMS payments, with minimal diagnosis deletions impacting risk adjustments.

Addressing Payer Denials and Utilization Challenges in US Healthcare

Explore challenges healthcare providers face with payer denials and audits and how solutions like PayerWatch's platform improve revenue protection and utilization management.

CMS Proposes Medicare Advantage Star Ratings Changes for 2027

CMS proposes 2027 Medicare Advantage star ratings changes, removing Health Equity Index, adding depression screening measure, and refining enrollment policies to enhance care quality and plan comparisons.

Medicare 2026: Rising Costs and Reduced Plan Options Challenge Beneficiaries

Medicare beneficiaries face higher Part B premiums and fewer prescription drug plan options in 2026. Explore key changes for Medicare and advice for enrollment.