Wellcare expands Medicare Advantage coverage to 51 million beneficiaries and transitions Medicare-Medicaid Plans to integrated Dual Eligible Special Needs Plans in 2026, enhancing care coordination.

Medicare Part D's coverage gap, known as the Donut Hole, is eliminated in 2025 with a new three-phase benefit and $2,000 out-of-pocket cap, enhancing cost predictability and managing prescription drug expenses for beneficiaries.

Federal report exposes inflated mental health provider directories in Medicare Advantage and Medicaid managed care plans, highlighting access challenges and regulatory compliance issues.

Medicare Part B premiums increase to generate $14 billion in revenue amid rising outpatient and managed care costs, impacting seniors and Medicare Advantage plans.

Medicare 2026 premiums surge nearly 10%, with fewer Medicare Advantage plans as insurers scale back. Explore key Medicare cost drivers and market impacts.

Examining Aetna's new inpatient payment policy for Medicare Advantage plans, its conflicts with Medicare's Two-Midnight Rule, and implications for hospital reimbursement and compliance.

Banner Health's insurance plan integrates health system data and AI technology to improve care coordination, compliance, and member experience in Medicare and Medicaid markets.

Medicare Advantage plans are advancing outcomes by integrating clinical excellence, AI-driven engagement, health literacy, and community partnerships to support holistic member care.

Special Needs Plans (SNPs) are driving significant growth in Medicare Advantage enrollment in 2025, with chronic condition and dual-eligible SNPs leading gains. Institutional SNPs decline amid evolving care models.

FirstMedicare Direct will close operations by end of 2025, affecting 6,000 Medicare Advantage members. This exit highlights challenges in the Medicare Advantage insurance market.