Medicare Advantage overpayments have increased sharply, funding non-medical perks like golf fees and ski passes, leading to projected taxpayer costs of $1.2 trillion over the next decade.

The DOJ has sued top Medicare Advantage insurers and brokers alleging illegal kickbacks to steer enrollments, raising regulatory and compliance issues in the Medicare insurance market.

CVS Health plans to exit the ACA individual health insurance market in 2026, affecting about 1 million Aetna members across 17 states. The move reflects a strategic portfolio shift amidst rising healthcare costs and uncertain federal subsidies.

Hospital costs are rising faster than inflation amid Medicare Advantage reimbursement challenges and potential Medicaid cuts, intensifying financial pressures on U.S. health systems.

Elevance Health halts digital enrollment in most Medicare Advantage plans amid rising expenses seen at UnitedHealth Group, affecting broker sign-ups and market growth dynamics.

Explore the policy and market implications of default enrollment into Medicare Advantage versus traditional Medicare, including impacts on beneficiaries, insurers, providers, and federal budgets.

Ascension and Blue Cross Blue Shield Illinois report healthcare data breaches; Atrium Health wins hospital expansion in NC; Elevance Health cuts Medicare Advantage marketing amid legal challenges; Sutter Health settles antitrust lawsuit; AI used to reduce clinical burnout.

Devoted Health grows membership and revenue in the competitive private health insurance market for seniors, reflecting shifts in Medicare Advantage offerings and market dynamics.

Explore how conservative proposals to alter Medicare enrollment could boost Medicare Advantage participation, impacting program costs and market dynamics.

Medicare Advantage plans face increasing provider disputes leading to special enrollment periods for affected members, raising regulatory and beneficiary access concerns.