Tag: Medicare Advantage

CMS Proposes 2027 Updates to Medicare Advantage and Part D Star Ratings

CMS has proposed key 2027 updates to Medicare Advantage and Part D Star Ratings aiming to streamline quality measures and modernize enrollment options to enhance care and plan accountability.

Aetna Medicare Advantage Plans Losing Acceptance at South County Hospital in 2026

From 2026, Aetna Medicare Advantage individual plans will no longer be accepted at South County Hospital for surgical and outpatient services due to contract renewal impasse. Ongoing negotiations may impact Washington County patients.

CMS Proposes 2027 Medicare Advantage and Part D Regulatory Updates and Data Use Changes

CMS issues proposed 2027 updates to Medicare Advantage, Part D, risk adjustment, and reporting rules, seeking stakeholder input on quality measures and program improvements.

Medicare Advantage Growth Raises Care Access and Cost Concerns for Providers

Medicare Advantage plans see rising enrollment amid care access and cost challenges for providers and beneficiaries, prompting regulatory scrutiny and legislative proposals.

Medicare Advantage Growth Raises Concerns Over Costs, Care Access, and Provider Relations

Medicare Advantage enrollment surges as hospitals report care delays and increased administrative burdens. Explore the impacts on costs, provider networks, and Medicare policy reforms in 2025.

Medicare Advantage Market Faces Enrollment Declines and Regulatory Shifts Amid Profit Pressures

Medicare Advantage plans face enrollment decline in 2026 as insurers reduce benefits and brokers lose commissions; CMS proposes star rating changes boosting insurer profits while reversing equity measures.

TriHealth-UnitedHealthcare Contract Dispute Raises Patient Cost Concerns

A contract dispute between TriHealth and UnitedHealthcare threatens patient coverage and could lead to higher healthcare costs if unresolved by December 31. This impacts Medicare Advantage and commercial plans, raising concerns over reimbursement rates and service continuity.

Pennsylvania Medicare Open Enrollment Ends Dec 7 with Expanded Plan Options

Pennsylvania's Medicare open enrollment deadline is Dec. 7, 2025, with 334 Medicare Advantage plans and low premiums available. Learn about coverage options, deadlines, and assistance programs for seniors.

CMS Proposes Major 2027 Medicare Advantage and Part D Updates Following Inflation Reduction Act

CMS's 2027 proposed rule outlines key Medicare Advantage and Part D program updates, codifying Inflation Reduction Act changes, adjusting Star Ratings, and modernizing marketing and risk adjustment frameworks.

Medicare Advantage Overpayment Cycle Challenges Sustainability and Beneficiary Care

Rising Medicare Advantage costs and marketing-driven enrollment cycles challenge Medicare program sustainability and beneficiary care quality. Policy reforms target overpayment and plan standardization.