Maximizing Medicare Vision Benefits: Coverage, Savings, and Eye Health Insights
Learn how to maximize your Medicare plan's vision benefits, including annual eye exams, vision allowances, and affordable stand-alone coverage options like VSP.
UNC Health-Cigna Contract Dispute Threatens In-Network Coverage for Thousands
The unresolved contract dispute between UNC Health and Cigna risks out-of-network status for thousands of patients, reflecting broader insurer-provider negotiation challenges in North Carolina's healthcare market.
Medicare Advantage Contract Disputes Intensify Amid Cost Pressures
Rising cost pressures and demographic shifts fuel intensified disputes between payers and providers over Medicare Advantage contracts, impacting reimbursement and network participation.
MultiCare to Exclude Certain Medicare Advantage PPO Plans in 2026
Starting in 2026, MultiCare will no longer accept certain Medicare Advantage PPO plans, impacting access for some seniors. The shift focuses on HMO plans for better care coordination during Medicare open enrollment.
Geisinger Health Plan Named 2026 Best Medicare Advantage Insurer in Pennsylvania
Geisinger Health Plan earns 2026 Best Insurance Company for Medicare Advantage in Pennsylvania, recognized for high-quality coverage and member services based on CMS quality measures.
CMS Proposes Medicare Advantage Star Ratings Overhaul, Amid Legal and Operational Updates
CMS proposes to revamp Medicare Advantage Star Ratings, affecting insurer compliance and operations. Legal appeals and health system updates also impact the US market.
Medicare Advantage Chart Reviews Drive Higher Diagnoses and Federal Payments
KFF research reveals widespread use of chart reviews in Medicare Advantage, increasing diagnoses and boosting CMS payments with AI-driven risk adjustment implications.
Medicare Premiums and Plan Changes Signal Market Shifts for 2026
Medicare 2026 premiums surge nearly 10%, with fewer Medicare Advantage plans as insurers scale back. Explore key Medicare cost drivers and market impacts.
Aetna Medicare Advantage’s New Inpatient Payment Policy: Implications and Regulatory Concerns
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 Integrated Insurance Model Advances Care Coordination and AI Use
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.