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.
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.
Key Medicaid DSH and Medicare Advantage Advocacy Efforts Over August Recess
America's Essential Hospitals leads advocacy to prevent Medicaid DSH cuts and improve Medicare Advantage provider reimbursements during August recess.
Walmart Enhances Medicare Advantage Benefit Access for Seniors
Walmart introduces a feature allowing Medicare Advantage members to access plan benefits on Walmart.com, assisting seniors in maximizing healthcare-related savings while shopping.
Federal Medicare Billing Probe into UnitedHealth May Redefine Lab Diagnostics Oversight
Federal probes into UnitedHealth’s Medicare Advantage billing practices highlight potential increased regulatory oversight for clinical labs and changes to diagnostic data use in billing.
CMS Proposes Major 2026 Medicare Rule Changes Affecting Inpatient Care and Outpatient Surgery
CMS 2026 outpatient rule proposes major changes including inpatient-only list elimination and expanded ambulatory surgery center procedures, impacting Medicare payment and compliance.
Aetna Updates Medicare Advantage Inpatient Reimbursement Policy Effective Nov 15
Aetna implements a new inpatient reimbursement policy for Medicare Advantage plans to streamline payments and align with CMS two-midnight rule, effective Nov 15, 2023.
Medicare Plans Stable as Medicaid Faces Changes - Benefits Review Encouraged
Medicare remains stable amid upcoming Medicaid changes in 2026. Review benefits and prepare for Medicare Advantage Open Enrollment, Oct 15–Dec 7. Expert tips on plan adjustments and coverage details.