New Law To Eliminate Deceptive MA Comparisons to Protect Vulnerable Seniors
Congressional bill aims to improve Medicare Advantage comparisons by using accurate data and transparent methods, ensuring fair Medicare policy for seniors and taxpayers.
2025 J.D. Power Medicare Advantage Study Highlights Member Onboarding Opportunities
The 2025 J.D. Power Medicare Advantage Study identifies declining member satisfaction and highlights how digital onboarding and transparency improve member trust across U.S. Medicare Advantage plans.
Medicare Physician Payments Drop Over 33% Since 2016, Threatening Access and Sustainability
Physician incomes from Medicare have fallen over 33% since 2016 due to stagnant reimbursements and increased costs, prompting health systems to reconsider Medicare Advantage participation. This shift threatens patient access and could reshape Medicare's physician landscape.
New Bill Proposes Automatic Enrollment in Medicare Advantage with Three-Year Lock-In
Congressman Schweikert introduces H.R.3467 to auto-enroll seniors in Medicare Advantage with a three-year lock-in, raising questions on beneficiary rights and plan flexibility.
CBO Warns of Nearly $500B Medicare Cuts from New Tax and Spending Law
The Congressional Budget Office warns the new tax and spending law may trigger nearly $500 billion in Medicare cuts over 10 years via S-PAYGO sequestration, impacting providers, rural hospitals, and Medicare Advantage plans.
CMS Medicare Advantage Star Ratings: Regulatory Risks and Financial Impacts for Insurers
Explore how CMS's Medicare Advantage Star Rating system's opaque methodologies create regulatory arbitrage and financial risks for insurers like Elevance Health, Humana, and UnitedHealthcare, shaping the healthcare insurance landscape.
CareOregon Ends Out-of-Network Behavioral Health Coverage in Oregon
CareOregon will discontinue out-of-network behavioral health coverage for Medicaid and Medicare Advantage members, impacting 15,000 patients in Oregon. The change aligns with industry practices post-COVID-19 expansion.
Federal Court Upholds CMS Medicare Advantage Star Ratings, Denies Elevance Health Lawsuit
Texas federal judge rules against Elevance Health in lawsuit over Medicare Advantage star ratings, impacting $375 million in bonus revenue. CMS methodologies upheld.
Connecticut Medicare Advantage Plan Raises Access Concerns Despite Cost Savings
Connecticut's shift to Medicare Advantage for state retirees saves $1.7 billion but raises access and prior authorization concerns. Efforts to restore traditional Medicare options underway.
Study Highlights Data Challenges in Evaluating Medicare Advantage Plan Use and Cost
A new study outlines data challenges and proposes methods to improve analysis of Medicare Advantage plans, focusing on utilization, cost, and risk adjustment.