Trilogy Health Services CMO discusses Medicare Advantage's impact on skilled nursing, focusing on administrative challenges, appeals, and value-based care opportunities. Insights on I-SNP partnerships and payment simplification for providers.

Medicare Advantage expansion is linked to care delays in skilled nursing facilities, urging providers to better understand MA protocols for improved patient outcomes.

TailorCare extends its value-based musculoskeletal care program to Humana Medicare Advantage members in Dallas and Denver, enhancing personalized care coordination and outcomes.

Medicare Advantage incurs a $5.7 billion underwriting loss in 2024 due to increased utilization, medical inflation, and regulatory changes, impacting insurer profitability and market dynamics.

SelectQuote Inc. faces a DOJ whistleblower lawsuit over Medicare Advantage sales practices, triggering stock declines and investor class-action suits. Key updates on regulatory compliance and market impact.

AAASWFL's SHINE Program offers free Medicare counseling for Southwest Florida beneficiaries during the 2025 Open Enrollment Period, facilitating informed insurance decisions and fraud awareness.

CVS Health's Aetna expands its Clinical Collaboration program to ten hospitals by 2025, targeting reductions in Medicare Advantage hospital readmissions and length of stay through embedded nursing care during discharge transitions.

Aetna scales its Clinical Collaboration program to ten hospitals, aiming to reduce 30-day Medicare readmissions and enhance care transitions for Medicare Advantage members by embedding nurses within hospital teams.

Examination of Q2 earnings for U.S. health insurers reveals growth trends, regulatory challenges, and economic factors shaping market performance in 2024.

Medicare to pilot AI-driven preauthorization program in six states as federal budget cuts threaten program funding and patient access.